Bargain Hunt Collectables

Auction Registration Form

Heritage Hall

18 Chalk Street, Wooloowin 4030

Auction Conducted by

Mark Mott

To be held on May 16th 2010 at 10am


BUYER’S NO:_____________________

Name:____________________________________________

Company Name (if any):______________________________

Street_____________________________________________

City___________________State:__________Post Code:______

Phone No: (   )_____________Mobile_____________________

Driver’s License No:____________________(State)________

E-mail Address (for Auction notices):_____________________

 

 

 

 Signature:____________________________          Date:    /    /