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Item Number:	Description:	Bid amount: If phone bid write phone #

In case of a tie bid if you would like us to bid the next increment for you
CHECK HERE _______

Name:__________________________________________________________________ Address:________________________________________________________________ City:_________________________________ State:_____________ Zip:___________

Phone number where you can be reached for phone bidding on auction day:
(______)______ - _________.

Home Phone: (______)______ - _________

Business Phone: (______)______ - _________

Fax number: (______)______ - _________

I have read the terms of sale and I agree to abide by them. If I am a successful bidder I will send a check within three (3) days of purchase for the full amount of the purchase, plus my shipping and handling obligations.

Signed:____________________________________________________________
Date:________/_________/_________

Credit card number: (only for guarantee of payment, may not be used to finalize purchases on telephone or absentee bids.)
__________________________________________________________________________________

Type: (circle one)

Visa	Mastercard

Your name exactly as it appears on your card:
__________________________________________________________________________________

Fax this form to 419-562-4363 no later than 5 PM Friday.