BIDDER’S FORM: Please complete this form and return it to: Dorothy Dous, Inc., 1261 University Drive, Yardley, PA 19067-2857 Attn: Tammy Evanich

NAME:_______________________________________________________________________________

ADDRESS:____________________________________________________________________________

CITY/STATE/ZIP:______________________________________________________________________

PHONE:_______________________________________________________________________________

FAX:_________________________________________________________________________________

METHOD OF PAYMENT: (Please check one)

CASH_______ CHECK(Pre-approved)_______ BANK CHECK_______ MONEY ORDER_______

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CREDIT CARD NUMBER:_______________________________________________________________

EXPIRATION DATE:____________________________________________________________________

DRIVER’S LICENSE NO:_____________________________________ STATE:___________________

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I have read the auction Terms and Conditions enclosed in this catalog and fully understand and agree to abide by them.

SIGNATURE:_________________________________________________ DATE:__________________