Bette Midler

the collection of bette midler Saturday, November 12, 2011 Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ &Julien’s Auctions | 191 BIDDER REGISTRATION FORM If you qualify for tax exemption, please fax your resale certificate with your bidder registration form. Please check ONE of the following: ® I will be attending the live auction. ® I will be placing absentee bids ® I will be phone bidding. Online Bidding: Register at www.julienslive.com to leave a proxy bid prior to the auction or bid online during the auction. Please print legibly. Please note: Property cannot be shipped to post office boxes. Name: ___________________________________________________ Company: ___________________________________________________ Tax Resale Number (if applicable): ________________________________________________________________________________________ Email: ________________________________________________________________________________________________________________ Address: ______________________________________________________________________________________________________________ City: ________________________________________ State: _____________ ZIP: _____________ Country: ___________________________ Day Phone: ______________________________ Cell Phone: ______________________________ Fax: ______________________________ ® Check here if different billing address Type of Credit Card: ® Visa Card Number: ____________________________________________________________ ® MasterCard ® American Express Expiration Date: ___________________________ Security Code: ________________ Billing Address (if different than above): Name: __________________________________________________________________________________________________________________ Address:_______________________________________________________________________________________________________________ City: _________________________________________________________ State: ___________________________ ZIP: ____________________ ® Absentee Bid(s) ® Phone Bid(s) Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________ Lot #:____________ Bid:____________