ABSENTEE BID FORM

I am unable to attend this Auction, or must leave prior to its completion, and I am requesting that you execute the following bid(s) for me in my absence. By submitting these Absentee Bids I acknowledge that I have read the Michael Ivankovich Antiques & Auction Co. Inc. Rules For Absentee Bids and Terms & Condition of Sale and understand and agree to those terms. I further agree that neither The Michael Ivankovich Antiques & Auction Co. Inc., nor any of its staff, will be held responsible for any possible bidding errors, or the possible failure to execute any of my Absentee Bids, and I acknowledge that I have satisfied myself as to the condition and authenticity of any item that I am bidding on.

(Date)_______________________ (Signed)____________________________________________________

1)

2)

3)

4)

5)

Name:____________________________________Address:__________________________________________

City:_____________________________State:_______Zip:_______________Phone:_____________________

Credit Card Billing Address if different from above. Same ( ):
Address:____________________________________________ City:______________________State:_______Zip:________________

Telephone:_________________________________ E-Mail:_________________________________________

Visa/MasterCard #:___________________________________________ Exp. Date:_____________________

Verification Code#________ (3 digit number on the back of your credit card to the far right in area where you write your name)