Page 57 - Orari Gorge 2021 Catalogue ebook
P. 57
ORARI GORGE BUYERS INSTRUCTION SLIP (No verbal instructions can be accepted)
Name:
Address:
Lots No’s Purchased: Total:
,
□ Please tick this box if you consent to your information being shared between
and/or the relevant livestock agency, for the purpose of offering you insurance. insurer name vendor or organising body
Consign To:
Account To:
Email:
Phone No: Mob No: NAIT No:
Transfers:
INSURED BY: o BWRS o AON o FMG o OTHER:
INSURE FOR (state period) Months
SIGNATURE OF BUYER
In the event of the above mentioned agent being unwilling to make settlement on my behalf, I agree to do so personally
in full within fourteen (14) days from the date of sale.
SIGNED: Date: / /
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