Mobile No. 5. Fax No.
Mobile No. Email ID: .................................................................................................................
Mobile No. Home: ..........................................
Mobile No of person authorized to manage the account: ……………………………………...…………….......................... : باسحلا ةرادإب لوخملا صخشلا .........................................................…………………………. : باسحلا ةرادإب لوخملل كرحتملا فتاهلا ……………..……………………………............................... Contact details: : لاصتلإا تانايب Country/State.........................................District:............................. .....................................:ةقطنملا ةلودلا
Mobile No. (In terms of powers conferred upon him by
Mobile No. ... In case of an emergency, who should be contacted in preference (eg 1 Mother; 2 Father; 3 Emergency contact) 1 ..............................................................................
Mobile No. Email Address: ............................................................................................................................................................ Are you registered for VAT ? Yes / No (If yes please supply a valid VAT No) VAT No. : ............................................ PLEASE READ THROUGH THE TERMS & CONDITIONS UNDER WHICH GOODS ARE ACCEPTED FOR SALE BY AUCTION OVERLEAF PAYMENT WILL NOT BE MADE WITHOUT A SIGNED & COMPLETED ENTRY FORM Please return completed Entry Forms to: Offa House, St. Xxxxxx Square, Hereford, HR1 2PQ. Tel : 00000 000000 Fax 00000 000000 Or Email to: x.xxxx@xxxxxxxxxxx.xx.xx TERMS & CONDITIONS
Mobile No. Fax No.......................................................................... E-mail ..........................................................................
Mobile No. III. The Tender fee amounting to Rs. 100/- (Rupees One Hundred Only) has been deposited vide cash receipt no. Dated .
Mobile No. Email .......................................................................................................................... Type of function/meeting ............................ ……...................................................
