Coin/Currency Request
Business Name or Member Name
Phone
E-Mail Address
Coin Pick-up Branch
Corporate Branch - Cumberland, MD
Western Maryland Health System Office - Cumberland, MD
Grafton - Grafton, WV
Downtown - Cumberland, MD
LaVale - LaVale, MD
Keyser - Keyser, WV
Frostburg - Frostburg, MD
Paca Street - Cumberland, MD
Pick-up Date
Pick-up Time (Approx.)
10:00 AM
11:00 AM
12:00 PM
01:00 PM
02:00 PM
03:00 PM
04:00 PM
# Rolls of Pennies
@ $.50/roll
# Rolls of Nickels
@ $2.00/roll
# Rolls of Dimes
@ $5.00/roll
# Rolls of Quarters
@ $10.00/roll
TOTAL
$0.00
# of Ones
@ $1.00/bill
# of Fives
@ $5.00/bill
# of Tens
@ $10.00/bill
# of Twenties
@ $20.00/bill