Name:_________________________________
Address:________________________________ _______________________________________
Apt #:__________________________________
City:___________________________________
State:__________________________________
Zip code:_______________________________
Payment Method:________________________
(money order/bidpay/paydirect/paypal(preferred)
Item(s) requesting availablitiy for: brief description
________________________________________________
________________________________________________
________________________________________________
________________________________________________
information & send.
You can also forward the information in an email without using the form.
*Email confirmation will be sent with in 3 business days letting you know if the item(s) is/are still currently available and providing instructions for you
to complete transaction as well as total with shipping.