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Fischer_Katalog_247_Teil_II

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DR. FISCHER<br />

K U N S T A U K T I O N E N<br />

Fax: (++49) 7131 / 15 55 7 - 20<br />

Trappenseeschlösschen · 74074 Heilbronn · Deutschland<br />

Telefon: (++49) 0 7131 / 15 55 7 - 0 · E-Mail: info@auctions-fischer.de<br />

Internet: www.auctions-fischer.de<br />

Bidder Registration<br />

Paddle number<br />

Title<br />

Last name<br />

Company name<br />

Address<br />

Postcode<br />

First name<br />

City<br />

Please provide government issued photographic identification such as<br />

passport, identity card or drivers licence and confirm you permanent<br />

adress.<br />

The buyer must pay, in addition to the bid price, a premium of 28 %. We<br />

will debit all charges due on any purchases you make plus 3% credit card<br />

surcharge 7 days after the sale if you have not settled your account<br />

by an alternative method. By signing below you are authorising this<br />

payment to be taken by us.<br />

Country<br />

Telephone<br />

Credit Card:<br />

Telephone Mobil<br />

Visa<br />

Mastercard<br />

American-Express<br />

Fax<br />

Cardholder name<br />

Card number<br />

Expiry date<br />

Are you acting as a private or a trade buyer?<br />

Switch / Solo Card issue no.<br />

If registered for VAT in the EU please<br />

enter your VAT number and Country.<br />

Cardholder signature<br />

References of German oder International Auction Houses:<br />

I bid already successfully at<br />

Name of the Auction House<br />

Name of the Auction House<br />

Name of the Auction House<br />

Name of the Auction House<br />

This sale will be conducted in accordance with our Conditions of Sale and bidding and buying at the sale will be regulated by the Conditions. You<br />

should read those Conditions in conjunction with the Important Notices relating to this sale which set out the charges payable by you on the<br />

purchases you make and other terms relating to bidding and buying at the sale. You should ask any questions you have about the Conditions before<br />

signing this form.<br />

Data protection:<br />

When using our services you may be asked to supply personal data. Your personal data is used in strict accordance with German data protection<br />

laws. We will not disclose your data to any third party for the purpose of direct marketing but we may from time to time provide you with<br />

information about goods and services which we feel may be of interest to you. You can withdraw your consent for future actions at any time.<br />

Date<br />

Your signature<br />

Please cut here<br />

214<br />

DR. FISCHER KUNSTAUKTIONEN | <strong>247</strong>. AUKTION | 19. MÄRZ 2016<br />

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