2. Date and Time Submitted*
   Date and Time Submitted

   Date and Time Submitted
3. 
4. TOWN OF ORANGE AUCTION REGISTRATION SHEET
6. First Name*
7. Last Name*
9. Email Address*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Fax Number (Optional)
20. Driver's License State and Number:*
21. License Expiration Date:*
23. TERMS OF SALE: Cash or cashier’s check (no personal checks or credit/debit cards). Balance of full purchase price must be paid within two (2) business days of auction or sooner. Item(s) must be picked up within two (2) business days. All sales are final. The Town has the right to reject any and all bids. Items must be paid for at garage office. There may be defects not noted at time of sale. All items are sold “As Is” with NO WARRANTIES. The Town of Orange assumes no responsibility for any repairs regardless of any oral statements about the item. The buyer will be responsible for all costs from any repairs.
25. I have read the above terms of sale and I accept them:
27. I Accept *

    1. Yes
28. Electronic Signature*
30. OFFICE USE ONLY:
32. BIDDER #:
33. Item(s) # Awarded:
34. Price $
35. Cash [ ]
37. Receipt Given: [ ]
38. Title Given: [ ]Yes [ ] No
39. Cashier's Check [ ]
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field