HOURS PRIOR TO THE AUCTION. SIGN AND EMAIL ALL ATTACHED FORMS TO XXXXXXX@XXXXXXXXXXXXXXXXXXX.XXX BUYER INFORMATION: ( Please Print Clearly) NAME: COMPANY: ADDRESS: CITY, STATE, ZIP: DAY TIME PHONE: MOBILE : FAX: EMAIL ADDRESS: BUYER’S SIGNATURE: DATE: REAL ESTATE BROKER INFORMATION: (Please Print Clearly) AGENT NAME: COMPANY: ADDRESS: CITY, STATE, ZIP: DAY TIME PHONE: MOBILE : FAX: EMAIL ADDRESS: REAL ESTATE BROKER LICENSE # STATE BROKER LICENSED IN: BROKER’S SIGNATURE: DATE: Broker Initials: FOR OFFICE USE ONLY: RECEIVED AND ACKNOWLEDGED BY AUCTION INFORMATION / / INITIALS DATE TIME PROPERTY CONFIRMATION / LOCATION: BUYER/BROKER REGISTRATION TERMS & CONDITIONS
