NAME OF COMPANY____________________________________

PURCHASER OR BUYER__________________________________

ADDRESS_______________________________________________

CITY_____________STATE_____________ZIP CODE___________

PHONE NUMBER_______________EMAIL____________________

DRIVER’S LICENSE____________________DOB_______________

TAX # (IF APPLICABLE)___________________________________

Please check those categories for which you would like to receive a notice:

Antiques_____ Estates_____ Imports_____ General Household_____

Bank Repos_____ Business Liquidations_____ Equipment_____

Livestock_____ Farm/Supply_____ Government Surplus_____

TO RECEIVE A NOTICE FOR ALL AUCTIONS, PLEASE INCLUDE
AN ANNUAL FEE OF $5.00. THIS WILL ADD YOU TO THE INCLUSIVE LIST. OTHERWISE IT IS FREE TO BE INCLUDED IN THE GENERAL MAIL-OUT WHICH IS DONE BY AREA OF INTEREST AND LOCATION.