1 - (800) -  555 - 1234
Seller's First Name:

Seller's Last Name:

Make Check payable to:

Mail Check to this address:



Zip Code:

Mobile Phone Number:

Office Phone Number:

Can we reach you by text?

Email Address:

Description of Items Here:


Date of Arrival: 

Auction of Interest:

I understand and agree to the terms & conditions of Martin Auction
9515 Texas Church Road
Clinton, IL 61727
Ph: (217)-935-3245
email: rob@martinauction.com
I agree