User Registration Confirmation Form

 
Dear Western Bid:

I declare under Penalty of Perjury that (Please check each box upon completion):

   The contact information on my account is complete, current and valid.

   I have read, understand and agree to abide by Western Bid's User Agreement and Privacy Policy located at: http://westernbid.com/english_ua.htm and http://westernbid.com/english_pp.htm

   I am an exempt recipient under the Internal Revenue Service Regulations, I am not a U.S. resident and I am in the age of 18 or older.


Required information (please use English letters):
Name:
Western Bid User ID:
Email Address:
Address:
City, Zip Code, Country:
Telephone Number:


IMPORTANT: When sending this page, please be sure to include a proof that your Western Bid registration information is valid in the form of an official government-issued ID (Passport) You will need to send additional documentation that verifies your address, i.e. a current utility or phone bill.

Sincerely,



___________________________________              _____________(MM/DD/YYYY)
(Signature - Required)                                                   (Date)

 
 
Copyright 2013 Western Bid, Inc.. All Rights Reserved.


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