|
Please complete and send this Mail Form if
you wish to e-mail a bid or request a catalogue.
Please be sure to select an 'AUCTIONEER' before submitting this enquiry form.
'Please Note Louis Taylor' will not accept email bids through this form. Please contact them directly for further information.
<% set rsAuctioneers = CreateObject("ADODB.Recordset")
rsAuctioneers.Open "SELECT * FROM auctioneers WHERE active='y' ORDER BY auctioneer" _
, "DATABASE=" & session("database") & ";UID=" & session("dsn username") & ";PWD=" & session("dsn password") & ";DSN=" & session("dsn")
%>
| Auctioneer: |
|
| Auction title: |
<%=textbox ("name=auction title,size=40,max=100,order=2,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Your Name: |
<%=textbox ("name=name,size=40,max=100,order=3,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Company: |
<%=textbox ("name=company,size=40,max=100,order=4,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Address: |
<%=textbox ("name=address1,size=40,max=100,order=5,crs=2,req=,def=,lo=,hi=,fmt=")%> |
|
<%=textbox ("name=address2,size=40,max=100,order=6,crs=2,req=,def=,lo=,hi=,fmt=")%> |
|
<%=textbox ("name=address3,size=40,max=100,order=10,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Postcode: |
<%=textbox ("name=postcode,size=40,max=100,order=11,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Country: |
<%=textbox ("name=country,size=40,max=100,order=12,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Telephone: |
<%=textbox ("name=telephone,size=40,max=100,order=13,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Fax: |
<%=textbox ("name=fax,size=40,max=100,order=14,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Email: |
<%=textbox ("name=email,size=40,max=100,order=15,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Nature of
Business: |
<%=textbox ("name=nature of business,size=40,max=100,order=16,crs=2,req=,def=,lo=,hi=,fmt=")%> |
 |
|
| <%=checkbox ("name=Request Catalogue,value=yes,order=46,crs=2,chk=0")%>Please send me a copy of the above catalogue
|
|
| <%=checkbox ("name=Request Subscription Rates,value=yes,order=47,crs=2,chk=0")%>Please send me details of your catalogue subscription rates
|
|
| Bid One |
Lot Number: |
<%=textbox ("name=Bid One lot number,size=20,max=100,order=17,crs=2,req=,def=,lo=,hi=,fmt=")%> |
Amount Bid (£): |
<%=textbox ("name=Bid One amount bid,size=20,max=100,order=18,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Bid Two |
Lot Number: |
<%=textbox ("name=Bid Two lot number,size=20,max=100,order=19,crs=2,req=,def=,lo=,hi=,fmt=")%> |
Amount Bid (£): |
<%=textbox ("name=Bid Two amount bid,size=20,max=100,order=20,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Bid Three |
Lot Number: |
<%=textbox ("name=Bid Three lot number,size=20,max=100,order=21,crs=2,req=,def=,lo=,hi=,fmt=")%> |
Amount Bid (£): |
<%=textbox ("name=Bid Three amount bid,size=20,max=100,order=22,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Bid Four |
Lot Number: |
<%=textbox ("name=Bid Four lot number,size=20,max=100,order=23,crs=2,req=,def=,lo=,hi=,fmt=")%> |
Amount Bid (£): |
<%=textbox ("name=Bid Four amount bid,size=20,max=100,order=24,crs=2,req=,def=,lo=,hi=,fmt=")%> |
| Bid Five |
Lot Number: |
<%=textbox ("name=Bid Five lot number,size=20,max=100,order=25,crs=2,req=,def=,lo=,hi=,fmt=")%> |
Amount Bid (£): |
<%=textbox ("name=Bid Five amount bid,size=20,max=100,order=26,crs=2,req=,def=,lo=,hi=,fmt=")%> |
Areas of Interest:
| <%=checkbox ("name=collectables,value=yes,order=27,crs=2,chk=0")%>Collectables
|
<%=checkbox ("name=ceramics,value=yes,order=28,crs=2,chk=0")%>Ceramics
|
| <%=checkbox ("name=fine arts,value=yes,order=29,crs=2,chk=0")%>Fine
Arts |
<%=checkbox ("name=stamps,value=yes,order=30,crs=2,chk=0")%>Stamps
|
| <%=checkbox ("name=furniture,value=yes,order=31,crs=2,chk=0")%>Furniture
|
<%=checkbox ("name=coins/medals,value=yes,order=32,crs=2,chk=0")%>Coins/medals
|
| <%=checkbox ("name=jewellery,value=yes,order=33,crs=2,chk=0")%>Jewellery
|
|
| <%=checkbox ("name=other,value=yes,order=34,crs=2,chk=0")%>Other:
<%=textbox ("name=other interest,size=40,max=100,order=35,crs=2,req=,def=,lo=,hi=,fmt=")%>
|
Click the
'SEND'
button below to submit this
enquiry, or use the 'CLEAR' button to clear the form
and start again.
Please be sure to select an
'AUCTIONEER'
before submitting this enquiry form.
All
bids and catalogue requests are accepted at the auctioneers
discretion, and may be subject to a buyers' premium, please refer to auctioneers terms and conditions for details. If this form is not completed correctly your bid
or request will not be accepted.
|
|