Business:

Address:

City:       , State: Zip:

Email:

Phone:

Fax:   

Auction Date: August 26 2008

* By completing the above information , I agree to abide by all the conditions of the sale and the absentee bid process described in the Absentee terms. If I do not pay my invoice within 7 days allowed, I authorize Poulin’s Antiques & Auctions to charge my credit card for the total of my purchase price. * I desire to bid on the following items in the sale. The bids are to be executed by Poulin’s Antiques & Auctions up to, but not exceeding the amount(s) specified on the below bids. All bids will be executed and accepted subject to the “Terms of Sale and Absentee Bids Procedure” outlined previously. (Please be sure that you understand our procedures before using this absentee bid form.