Bidder Information (Please Print)

Name:___________________________________

Address:_________________________________

City/Town:________________________________

Postal Code:________________

Phone #:_(____)_______________

Fax #:_(____)_________________

Cell #:_(____)___________________

Please indicate the number you can be reached on sale day

Bank Information

Name of Bank:_______________________

Address of Bank:______________________

Bank Contact Name:__________________

Bank Phone #:_(____)____________________

Auction Name:___________________________

Date of Auction:___________________________

Item to Bid on:____________________________

Maximum Bid: ____________Plus all applicable taxes

If my bid is successful I agree to immediately pay the full purchase price upon notification, either by wire transfer of funds or Priority Post the day following the sale.    Credit Card payments will not be accepted

Signature:_________________________