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Absentee Bid Order Form | word document

 Auction : Friday 4 november 2011 at 2.00 PM

DROUOT- Paris Room 11

Viewing days at Drouot, Room 11

Thursday 3 november from 11.00 AM - 6.00 PM
Friday 4 November From 11.00 AM - 12.00 Noon
Please bid on my behalf in the 4 November 2011 auction

Please make your request one day before the sale, accompanied by your bank references.
We are not responsible for bids later received.

Note: Fields marked in red are required .

Last Name:
 First Name:  M.I.: 
 
 
Email Address:
Company Name:
 (if applicable)
VAT Registration Number:
 (if applicable)
Address:
City:
State: 
Zip/Postal Code:
Country:
Daytime Telephone:
Evening Telephone:
Type Security code: cijfer

Payment Information

Note: If you are a new customer you have to provide banking references before we can accept your bids.
Existing clients, please select "existing client" for payment type.
You may also send this form by fax: +33 (0)9 54.50.00.00
Payment Method: 
 Banking details:  
Bankaccount #:  
Shipping Information : Fill in the information below if your shipping address is different from the address you listed above in your contact information.
Address:
City:
State:
Zip/Postal Code:
Country:


To bid on the following item(s)

Lot Number

Title

Limit in  €

*All purchases must be paid immediately.  Purchasers pay in addition to the hammer price, a buyer's premium of 23% (Taxes included)

and in addition shipping costs if applicable.

You may also fax this form to:

Béatrice Loeb-Larocque, Expert
31 rue de Tolbiac, 75013 Paris, France.
Cell phone +33 (0)6 11 80 33 75 - Tel.+33 (0)1 44 24 85 80 - FAX +33 (0)9 54.50.2500
Email : info@loeb-larocque.com

binoche renaud giquello
5 rue la Boétie, 75008 Paris. Tèl. +31 (0)1 47 70 48 95 -  Fax +31 (0)1 48 00 95 75

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