Absentee Bid Form

Please print, complete and mail or fax to: Roberson's Auctions  P.O. Box 185, Bullville, N.Y. 10915   Fax: (845) 744-2151   Telephone: (845) 744-3388

Name: _________________________________________

Address: _______________________________________

               _______________________________________

Telephone No. (      )______________________

Alt. Telephone No.  (      ) __________________

Resale or OSR No. (if applicable) ___________________

Item Description                                            Bid Amount*

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*Bid amount should not include buyer's premium.

With the submission of this bid I hereby accept and agree to all Terms and Conditions as set forth under "Terms and Conditions" and "Absentee Bidding" pages.

                                   Signature (Required): _______________________