Bid Form FORMS MUST BE ([email protected]) RECEIVED VIA FAX (323.904.1954) Submit via EMAIL or FAX (323-904-1954) Please check one: Absentee Bid Phone Bid DATE NAME BIDDING INCREMENTS $0 - 250 .................. $250 - 500 .............. $500 - 1,000 ........... $1,000 - 2,000 ........ $2,000 - 5,000 ....... $5,000 - 10,000 ..... $10,000 - 20,000 ... $20,000 - 50,000 .. $50,000 - 100,000 . $100,000 - 200,000 ADDRESS TELEPHONE EMAIL $10 $25 $50 $100 $250 $500 $1,000 $2,500 $5,000 $10,000 FAX VISA/MC EXP SIGNATURE Please note credit card information is for security purposes. Credit card payments can be accepted when the card is presented in person. 1 61 VAN NU 94 0-41 -195 94 0-41 -195 WW WW. P. O . B45 O XH5ART 6 74 8ST R S EE H ET RM AN O A KYS, S , CCAA 991 1 440 1 3 6 PT3 32 2 3 39- 0 9 5 0 0 F F3 32 2 3 39-0 954 4 W W. LLAAMMOO DD EE RR NN . C. C OO MM Please note credit card information is for security purposes only. Credit card payments will only be accepted when the card is presented in person. VISA/MC SIGNATURE EXP Signature I wish to place the following read thebids. Conditions Sale inthe the auction catalogue and agree comply all auction notices. I I wish to placebids. theI have following I haveof read conditions of sale and to agree towith comply that Modern Auctions, Inc. will Iexecute these bids on my behalf, but are notand responsible forcomply any errorswill or failure to execute my bid. I I wish wish to to will place the following bids. I have read the conditions of sale and agree to comply with allauction Iunderstand place the following bids. have read the conditions of sale agree to all notices. all auction notices. I understand that Modern Auctions, Inc. will execute these bids understand that some lots are listed for online bidding through Artsy (as indicated with Artsy logos in the auction catalogue) and if I bid on these auction notices. I understand that Modern Auctions, Inc. will execute these bids on my behalf, but Ilots, understand that Modern Auctions, Inc. willofexecute bids onwill mybeto behalf but areemail not address responsible for any behalf are not responsible for aany errors or failure execute bid. my bidon willmy be subject tobut Artsy’s online Conditions Sale, freethese Artsy account created with my my on this form, and Modern are notorresponsible for errors failure execute my bid. errors failure to execute my bid.or Auctions, Inc. may execute myany bid via Artsy on my behalf.toBuyer’s Premium There is a buyer’s premium added to the hammer price for all lots. Please refer to the LAMA Conditions of Sale. *For phone bidding, please leave TOP LIMIT OF ABSENTEE BID blank and fill in your phone number for the day of the auction. *For phone bidding, please leave “top limit of absentee bid” blank and fill in your phone number for the day of the auction. *For phone bidding, please leave TOP LIMIT OF ABSENTEE BID blank and fill in your phone number for the day of the auction. Lot NuMbEr LOT Lot NUMBER Number DESCrIPtIoN DESCRIPTION Description toP LIMIt of AbSENtEE bID TOP Top LIMIT limit OF of ABSENTEE absentee BID bid PhoNE NuMbEr* PHONE number* NUMBER* Phone
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