Page 165 - Pundole's Auction M0015
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Hamilton House, Ground Floor, 8 J.N. Heredia Marg, Ballard Estate, Mumbai 400 038
                                    Tel + 91 22 6114 6464 / 2284 1837 Fax +91 11 4761 8473

                      REGISTRATION / ABSENTEE BIDS FORM

                                         THE FINE ART SALE

           SALE NUMBER: M0015                                               THURSDAY, NOVEMBER 17, 2016

PERSONAL DETAILS
Invoicing Name
Company Name (if applicable)
Address

City                           Zip                                              Country
Telephone (Home)                            (Office)                        Telephone
Telephone (Mobile)                           Email
BANKING DETAILS
Bank Name
Address

Account Number
Account Manager Details (Name and Telephone Number /Email)

Please provide a bank reference letter as outlined in Buying at Pundole’s.

PLEASE FILL OUT THE FOLLOWING IF YOU WISH TO LEAVE ABSENTEE BIDS:

LOT NUMBER MAXIMUM BID IN RUPEES (Hammer Price)  LOT NUMBER MAXIMUM BID IN RUPEES (Hammer Price)

I have read the Terms and Conditions of Sale, and agree to comply by these for any purchases made in the auction on
November 17, 2016. All bids (whether in the saleroom, on the telephone, online or absentee) in the sale will be subject to
the specific terms as stated on the reverse of this form and the Terms and Conditions of Sale as stated in the catalogue.

Signature                                                   Date
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