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BRIGHTWELLS RHAYADER MACHINERY ENTRY FORM ACCOUNT NUMBER:

VENDOR DETAILS

Name : _____________________________ Address : _____________________________

_____________________________ _____________________________ _____________________________ Postcode : _____________________________

Tel. No : __________________________ Mob. No : __________________________ Fax No : __________________________ E-mail : _______________________ Sale Date:

12th May 2016 (Entries close Friday 29th April)

VAT Declaration: I AM a VAT registered Vendor (you must supply a valid VAT Number.)

I AM NOT a VAT registered Vendor.

VAT No. ___________________

Signed : ____________________

Signed : _______________________

Description (inc. make & model)

Year

V5

Reg. No.

Ser. No.

Hours

Reserve

Section Lot No.

I hereby authorise Brightwells to sell by Auction the above items which are my bona fide property & I have read and abide by their Conditions of sale, a copy of which are contained with this document. Signed: _____________________________ Print: ___________________________ Brightwells Ltd, 33 High Street, Builth Wels, Powys LD2 3DL Tel: 01982 553614 – Fax: 01982 551200 - Email: chris@brightwells.com

Date: ________


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