Credit Authorization Form
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We ONLY accept:

Please print this form and fax 856-692-8697 or mail it to Bertoia Auctions

 

Name on Card

 ____________________________________________________

 

Billing Address

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City/State/Zip

 ____________________________________________________

 

Shipping Address

 ____________________________________________________
Credit Card Number ____________________________________________________

Expiration Date

 ____________________________________________________

Buyer Number

______________________________________________

Phone Number

 __________________________________________________
   

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 I have agreed to the terms of sale by submitting my bids for auction.

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 I hereby authorize Bertoia Auctions to charge my credit card for my auction purchases.

I HAVE AGREED TO THE TERMS OF SALE BY SUMITTING MY BIDS FOR AUCTION. I HEREBY AUTHORIZE BERTOIA AUCTIONS TO APPLY A 17% BUYERS PREMIUM CHANGE (UNLESS PURCHASED THROUGH EBAY, WHICH A 22% BUYERS PREMIUM APPLIES) AND TO CHARGE MY CREDIT CARD FOR MY AUCTION PURCHASES.

Signature:
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Bertoia Auctions • 2141 DeMarco Drive • Vineland , NJ 08360