PLEASE PRINT CLEARLY - If we can't read it, your bid will not go through!
Donkeys By DeRose Auction Form
Please fill out and return by email (copy and paste)
FAX: (570-387-9135) , or snail mail, (print out this page)
Or you can write all information clearly and mail.  Be sure to include ALL information!!!
Please see last page for update:
PLEASE NOTE: FAX number will not be operable after 10 AM on day of Auction, this is our computer line

Name:_________________________________________Phone_(________)_________________________

Address________________________________________Alternate Phone_(_____)____________________

City__________________________________State____________Zip_______________________________

Credit Card:  MC  Visa  (circle one)
#____________________________________________Exp Date______________________
Name as it appears on card_____________________________________________________

I am Bidding On (circle)              Bidding closes                        Authorized High Bid
1. BJ                                        1.  SOLD!!                               1.__SOLD_______________

2. MAMA                                 2. SOLD!!                               2.__SOLD______________

3.  COFFEE                               3. SOLD!!!                          3.___SOLD______________

4.  PRINCESS                            4. SOLD!!!                           4.__SOLD______________

5.  TWINKIE                             5.  SOLD!!!                           5.__SOLD_______________

6.  SWEETIE PIE                        6.  SOLD!!                           6. _SOLD_______________

7.  STARDUST                          7.  SOLD!!!                            7.__SOLD___________

8.  MAXWELL                            8.  SOLD!!!                            8.___SOLD_____________

9.  FARGO                                 9.  SOLD!!!                             9.___SOLD______________

10. EARL                                   10. SOLD!!!                          10.___SOLD______________

NOTIFY ME IF I AM OUTBID: yes________  no___________  (I understand it is my responsibility to be at my phone or computer on the day of sale if I answer yes)  (you will be notified if you are outbid BEFORE the day of sale)
My Email Address: ____________________________________@_______________________________
I have read the rules of the auction and agree to its terms 
signed: ___________________________________
SUBMIT TO:
David DeRose
150 West Hillcrest Drive
Bloomsburg, PA 17815

Phone: 570-784-3664

FAX: 570-387-9135 (Please note, fax will not be available day of sale, this is our computer line)
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