Lockdales Auction 175 28-29 March 2020

LOCKDALES BID FORM Lockdales, 52 Barrack Square, Martlesham Heath, Ipswich, Suffolk, IP5 3RF Tel: (01473) 627110 www.lockdales.com Email: sales@lockdales.com Postal Bid Form , to be received prior to the sale, and for those unable to attend: Please bid on my behalf for the following lots, up to the limits specified if necessary. I agree to the terms and conditions of sale as printed in the catalogue/website. Signature………………………………………………Date………………………… Please write in BLOCK CAPITALS NAME…………………………………………………………………………………. ADDRESS……………………………………………………………………………... …………………………………………………………………………………………. …………………………………………………………………………………………. COUNTRY OF RESIDENCE……………………..Tel……………………………... Email Address………………………………………………………………………... Write bids clearly on the back of this form. Please check thoroughly. Tick one of the following options: I enclose a signed blank cheque. Please charge my Debit Card (details below) Send a Pro Forma Invoice via post/email (circle preference) Payment by DEBIT CARD (no service charge) Card Number………………………………………………….3 Digit Code………. Expiry Date……………..Start Date……………..Issue No. (if necessary)….......... Authorised Signature………………………………………………………………...

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