AUCTION APPLICATION FORM

Fill in and submit.

Sheet only for transmission

COMPANY NAMERequired
COMPANY
REPRESENTATIVE'S
NAMERequired
ZIP CODERequired
COMPANY ADDRESSRequired
COUNTRY/REGIONRequired
HEAD OFFICE
TEL No.Required
HEAD OFFICE
FAX No.

DETAILS OF PERSON IN CHARGE

NAMERequired
DEPARTMENT NAME
ZIP CODERequired
ADDRESSRequired
TEL No.Required
FAX No.
E-MAIL ADDRESSRequired
E-MAIL ADDRESS
(reconfirm)Required