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Please complete the form below. Fields marked with an * asterisk are required.

Auctioneer's Registration
 Company Name
 
 First Name*
  		 Last Name*
 
 Street Address*
 
 City*
 
 State*
  		 Zip* 
 
 Primary Phone*
  		 Secondary Phone
 
 Fax Number
  		 E-Mail Address
 
 Enter User ID*
   User ID must be 4 to 8
   characters in length.
  		 Your Web Site/URL
  ex. www.mycompany.com

 
 Enter Password*
   Password must be 4 to 8 characters in length.
 
 Re-enter Password
 
 Mother's Maiden Name*
  If you happen to forget your password and did not give an email address you will need to give this password in order to receive your password over the phone.
  
Type of auctions you specialize in.
 To select multiple types of Auctions, hold down the CTRL key
  (the Command key for Macs) while clicking selections.
This feature will be utlized when the public is finding an auctioneer.

AUCTIONEER LISTING OPTION
You have the option to have your name listed when people are looking for an auctioneer to host their event
Please do not list me on the 'Find an Auctioneer' page.
6 Month listing on the 'Find an Auctioneer' page. - $30
12 Month listing on the 'Find an Auctioneer' page. - $60

BILLING INFORMATION

Same as above

Name on Card :   

Address :   

Address 2 :    

City :    

State :    

Zip Code :    

Email of cardholder:    

Phone (area code) :    

   

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