MC/ Visa # ______________________________  EXP date : ______________________________

Name : __________________________________

Phone : __________________________________  Evening : _______________________________

Please print your name as it appears on your credit card.
Please print this form out,
fax it to us at 440.964.0024
We will assign you a bidder number,
and execute your bid competitively.
Please read our terms and review our bidding increments.

We prefer that you DO NOT e-mail
your credit card information, fax only please.