New Buyer Number Request Form

Bill To*:
Billing Address*:
City*:
State*:
Zip*:
	Billing and Shipping Addresses are the same
Ship To*:
Shipping Address*:
City*:
State*:
Zip*:

Visa, Master Card, Discover, & American Express accepted Any issues with registering, contact Holly Alford at 706-270-3994
Credit Card Number:	Enter number WITHOUT any spaces or dashes
Expiration Month / Year:	/ (*Your credit card will not be charged when you win a lot. The credit card will be reserved for non-payment only. You will have 14 days to remit payment before credit card is charged.)

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In order to delete an auction, you need to enter your password.