b'175TELEPHONE BID FORMIn order to register to bid with Leski Auctions, please complete this formand fax to +61 3 9012 4242 or scan and email to email@example.comNAME727-729 High Street, Armadale, VIC, 3143 +61 3 8539 6150 www.leski.com.au(please print clearly) EMAIL ADDRESSBIDDER #(for invoice & correspondence purposes)(Office Use Only)INVOICE ADDRESS(PO Box not sufficient)AUCTION # & TITLECITYSTATEPOST CODELA461Decorative Arts & COUNTRY CollectablesTELEPHONE NUMBER(S)(in order of preference)1.2.Please tick here if you do not want to receive special invitations and online auction catalogues by email.We value your privacy and will not disclose your details to any third party. You may request that your details are removed from our database at any time.Please scan or fax a copy of Photo ID, either a drivers licence or passport if you have not previously purchased with Leski Auctions.Lot NumberCatalogue Maximum Bid Not including buyers (in order) Description premium or GST (where applicable)A$A$A$A$A$A$A$A$A$A$A$A$A$A$I authorise Leski Auctions to register bids on a per lot basis up to the maximum price I have indicated for each lot. I will not hold Leski Auctions responsible for any errors that may occur. I understand that if my bid is successful, the purchase price will be the sum of my final bid plus the buyers premium of 19.5% of the final bid price plus any GST payable on the hammer price, as indicated in the catalogue with asymbol. GST will be charged on the buyers premium. If the Resale Royalty Scheme is applicable 5% will be charged on the hammer price only. The Resale Royalty Scheme is denoted by thesymbol in the catalogue and online at www.leski.com.auI have read and accepted Leski Auctions terms and conditions as printed in the catalogue and online at www.leski.com.au Bids will not be processed unless this form is signed. SIGNATUREDATE Please tick your desired shipping method I will collect my purchase/s CARDHOLDERS NAME I will arrange my own shipping I wish to be contacted regarding shippingCARD NUMBER Please tick your payment typeM M / Y Y (the last three digits above yourDirect Deposit CARD EXPIRY DATE CCV NUMBER signature on the reverse of your card) ChequeCash SIGNATURE OF CARDHOLDER Credit Card (Visa/Mastercard/AMEX only)Please Note: Buyers Premium: 19.5% plus GST for all Australian residents|Visa/MasterCard surcharge: 1%|American Express: 1.76%'