Name (Bidder): ________________________________________________________

Phone Number: _______________________________________________________
Email Address: ________________________________________________________
Mailing Address: _______________________________________________________

ITEMS YOU WOULD LIKE TO BID ON: (please print clearly)
Lot Number


Your Bid ($ Amount)

1. ___________________________________________________________________________________
2. ___________________________________________________________________________________
3. ___________________________________________________________________________________
4. ___________________________________________________________________________________
5. ___________________________________________________________________________________
6. ___________________________________________________________________________________
7. ___________________________________________________________________________________
8. ___________________________________________________________________________________
9. ___________________________________________________________________________________
10. __________________________________________________________________________________

METHOD OF PAYMENT: (please check one) ___ Visa or ___ Mastercard
Name on Card: _____________________________________________________________
Card Number: _______________________________ 3 Digit Security Code on Back: _____
 The auction will take place at Frontier Western Shop in Claresholm, Alberta starting at 1pm (mst).
 All auction items will be a FINAL SALE. The auction is unreserved and a part of the proceeds will
be going to the Red Cross for Southern Alberta Flood Relief. No refunds, returns or exchanges.
 All auction items must be paid for in full on the day of the auction, Friday, July 19th 2013.
 All auction items must be paid for in full before they can leave the premises.
 It is the responsibility of the buyer to cover all shipping costs or to make arrangements for
pick-up within a timely manner for all items purchased from the auction.
 A 5% tax (GST) will be added to the bids of all auction items.

I have read and agreed to the above information: _______ (initial)
I have verified that all my personal and financial information provided are true: _______ (initial)

Signature: ___________________________

Date: ____________________________

Frontier Western Shop Ltd. is Commited to Your Privacy:
The relationship between you and Frontier Western Shop Ltd. is based on trust. We are committed to maintaining
the privacy of personal information provided by our customers and protecting all personal information in our
possession or control. We collect, use and disclose the personal information of our customers only to the extent
required to operate our business.
We continue to protect your privacy and your right to control the collection, use and disclosure of your personal
information. We have procedures in place that guide our employees in maintaining confidentiality. What has been
our ongoing business practice has become our documented commitment to you.
Our company has established privacy policies and procedures and appointed a Privacy Officer. Our employees
understand the importance of the policies and procedures and follow them carefully. You can request a copy of
our Privacy Statement by telephone or mail.