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*Required Fields Are Bold.
Purchased Via:

Invoice #:

Credit Card #:
Type of Card:
Expiration Date (mm/yy):
*Cardholder Name:
*Zip Code:

I hereby authorize Neal Auction Company, Inc. to charge to the above referenced credit card account for my purchases on the above named invoice number in the sum of:

(Amount not to exceed $25,000)
*Email Address:
*Phone Number:

By submitting this form, you agree to pay the amount due according to the cardholder agreement and Neal Auction Conditions of Sale and understand that all lots are sold AS-IS and WHERE-IS, no returns are accepted.
I have read the Conditions of Sale and understand that the cash discount does not apply to my purchases. I understand that if I enter a payment amount on this form that includes the cash discount and if the invoice I received includes the cash discount, now paying by credit card voids that cash discount. I understand that my invoice will be recalculated at a buyer’s premium of 25% and that amount will be charged to my credit card as per the Conditions of Sale.
I understand that if I made my purchases online, the buyer’s premium is 28% with no cash discount available.

Digital Signature (Type your name):

For live personal service call 1-800-467-5329 between 9:00 a.m. and 5:00 p.m. CST,  Monday - Friday.