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CLOSE THIS WINDOW TO RETURN TO HANTMAN'S WEBSITE
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NOTE: This is not an interactive form. Print form, fill it out completely and fax back, or bring it with you to the auction.
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P.O. Box 59366, Potomac, MD 20859 (301) 770-3720 Fax (301) 770-4135 E-mail hantman@hantmans.com
BIDDER REGISTRATION INFORMATION
AUCTION DATE:___________________________ BIDDER NO._________________
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| Last Name: |
First Name: |
Middle Initial: |
| Business Name: |
| Address: |
| City: |
State: |
Zip: |
| Telephone: Home |
Work: |
| Fax Number: |
E-mail: |
| MD Tax ID No.: |
| Driver's License No.: |
State: |
Exp. Date: |
| Bank Name: |
Branch: |
| Account No.: |
| Telephone: |
Contact: |
| Credit Card No. (VISA and MasterCard ONLY): |
Exp. Date: |
I acknowledge that I have read Hantman’s "Conditions of Sale" and understand that they apply to any successful bid(s) that I have submitted.
Signed___________________________________________________________ Date ______________________
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CLOSE THIS WINDOW TO RETURN TO HANTMAN'S WEBSITE
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