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: ________