Thos. Cornell Galleries, Ltd

152 SOUTH COUNTRY RD. BELLPORT, NY 11713

 

631-289-9505  631-289-9507 fax

 

BIDDER REGISTRATION

 

BIDDER #_________                                                                                                  SALE DATE__________

 

DRIVER'S LICENSE # (INC. STATE) _______________________________________________________________________

 

CREDIT CARD # & EXP. DATE _________________________________________________________

 

*****CREDIT CARD CODE #____________  

ATTENTION DEALERS

BILLING NAME & ADDRESS MUST AGREE WITH YOUR STATE OR LOCAL SALES TAX EXEMPTION CERTIFICATE, INVOICES CANNOT BE CHANGED ONCE THEY HAVE BEEN PRODUCED

 

 

COMPANY NAME OR FIRST NAME                                                                              LAST NAME

 

BILLING NAME  ___________________________________________________________________________________________

 

Address____________________________________________________________________________________________________

 

City & State, Zip Code  ___________________________________________________________________________

 

Country  ______________________________________________    Telephone# _____________________________

 

ITEM #

DESCRIPTION OF ITEM

AMT. BID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bidders are reminded that the purchase price payable by the successful bidder shall be the total of the final bid and a premium of 20%, together with any New York state local sales tax or compensating use tax of another state which may be applicable.

 

I AGREE THAT I WILL BID SUBJECT TO THE TERMS & CONDITIONS OF SALE.

My signature below authorizes THOS. CORNELL GALLERIES, LTD. to charge my credit card for the sum total of my purchases including the Buyer’s Premium & sales tax  within 3 days of the auction in the event that I have not paid for my purchases

 

ALL SALES ARE FINAL

 

Signature________________________________________________ Date_________________________