Acknowledgement of User Agreement Form

Acknowledgement of User Agreement Form

Dear Western Bid:

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

    My contact information below is complete, current and valid.

    I acknowledge I have read and understood Western Bid's User Agreement and Privacy Policy located at: http://westernbid.com/english_ua.htm and http://westernbid.com/english_pp.htm , and I ageed to comply with this User Agreement and Privacy Policy.

   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):
My Full Name:
My Western Bid Login:
My Email Address:
My Address:
City, Zip Code, Country:
My Phone 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,

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

ИНСТРУКЦИЯ

ПОЖАЛУЙСТА ПРОСТАВЬТЕ ГАЛОЧКИ В КВАДРАТИКАХ ФОРМЫ И ЗАПОЛНИТЕ ПОЛЯ ВАШИМИ ДАННЫМИ В АНГЛИЙСКОЙ ТРАНСКРИПЦИИ. ЗАТЕМ РАСПЕЧАТАЙТЕ ФОРМУ, РАСПИШИТЕСЬ, ПРОСТАВЬТЕ ДАТУ, ОТСКАНИРУЙТЕ ИЛИ СФОТОГРАФИРУЙТЕ И ПРИШЛИТЕ НАМ ВМЕСТЕ С КОПИЕЙ ПАСПОРТА И УДОСТОВЕРЯЮЩИМ ВАШЕ МЕСТО ЖИТЕЛЬСТВА ДОКУМЕНТОМ (НАПРИМЕР, КОПИЕЙ СТРАНИЦЫ ПАСПОРТА С АДРЕСОМ ПРОПИСКИ, ВЫПИСКОЙ ИЗ БАНКА С АДРЕСОМ ПРОЖИВАНИЯ И Т.П.) ЧЕРЕЗ ФОРМУ ОТПРАВКИ ДОКУМЕНТОВ НА НАШЕМ САЙТЕ.