Collectible
Bidding/Order/Request Form
|
COLLECTIBLE
BIDDING/ORDER/REQUEST
FORM
|
| Your Name: |
| Address: |
| Address: |
| City:
State:
ZIP/Postal Code: |
| Country: |
| Telephone (Include
Country, City &
Area Code): |
| FAX
(Include
Country, City & Area Code): |
| E-Mail: |
  
|
AUCTION BID
SUBMISSION FORM
|
| Bid Key
# |
Title
& Information |
Your Bid
|
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
| |
|
US$ |
If
you have
completed filling out this form, please PRINT and then FAX it to
(818)
785-9006.
For mailing
instructions, see bottom of form.
| TITLE
& DESCRIPTION
FROM DISCOPHILIA SET SALE LIST |
PRICE
|
| 1. |
US$ |
| 2. |
US$ |
| 3. |
US$ |
| 4. |
US$ |
| 5. |
US$ |
| 6. |
US$ |
| 7. |
US$ |
| 8. |
US$ |
| 9. |
US$ |
| 10. |
US$ |
|
Sub-Total
This Order
|
US$ |
|
CALIFORNIA
RESIDENTS -
Add 8.25% Sales Tax
|
US$ |
ORDER TOTAL
|
US$ |
If
you have
completed filling out this form, please PRINT and then FAX it to
(818)
785-9006.
For mailing instructions, see bottom of form.
|
COLLECTIBLE ITEM
WANT / REQUEST
LIST FORM
|
| TITLE
& DESCRIPTION |
Your
Offer |
| 1. |
US$ |
| 2. |
US$ |
| 3. |
US$ |
| 4. |
US$ |
| 5. |
US$ |
If
you have
completed filling out this form, please PRINT and then FAX it to
(818)
785-9006.
For mailing
instructions, see bottom of form.
|
MAILING
INSTRUCTIONS
|
If you choose to
use regular mail,
please mail this form to:
Discophilia
P. O. Box 1724
Burbank, CA 91507-1724
U.S.A.
|
    
Double-click
above
for
E-mail.
Copyright
1998-2006 © Discophilia, Burbank, CA
91507-1724 USA
All
Rights Reserved
This page was
last modified
on March 6, 2006.
|
