IN ORDER TO HOLD YOUR BIDS, A CREDIT CARD (VISA, M/C, OR DISCOVER) IS REQUIRED**

 

Name _________________________________________Email: ________________________________________________

 

Home Phone: _______________________________Alternate Phone:________________________Fax#_________________________

 

Address________________________________________________City ___________________________State                    Zip________

 

TAX EXEMPT BUYERS MUST PRESENT A COPY OF RESALECERTIFICATE – PLEASE CONTACT GALLERY FOR FORM.

Signature: ____________________________________________________________________DATE __________________________

                   Bids will notbe executed without signature.  Signaturedenotes that you agree to our terms.

 

**IN ORDER TO HOLD YOUR BIDS, A CREDIT CARD (VISA,M/C, OR DISCOVER) IS REQUIRED**
Any uncollectedpayments will automatically charge to this credit card 5 business days afterpurchase

Credit Card#_________________________________________________________ ExpirationDate____________ Security Code_______

 

Cardholder's Signature:  _________________________________ BillingAddress:________________________________________________

LIVE AUCTIONEERS BIDSare subject to a 21% BUYER’S PREMIUM!