▼ a u ction B id F orm 3, Rue du Mont-Blanc - 1201 Geneva, Switzerland Tel. + 41 (0)22 909 28 50 | Fax + 41 (0)22 909 28 60 Online www.antiquorum.com | Email geneva@antiquorum.com Dimanche 15 mars, 2015 | Sunday March 15, 2015 | Important Modern & Vintage Timepieces Importantes Montres de Collection LAST NAME [in capital letters] FIRST NAME ADDRESS ZIP / POSTAL CODE CITY COUNTRYEMAIL [Required] TELEPHONE [Required] LANGUAGE [s] Please provide credit card information. The registration will be completed only once the ID is received. Exp. Date: Month / Year 25% of the hammer price on each lot up to and including CHF 75,000, Security 20% from CHF 75,001 to CHF 1,500,000 and 12% from CHF 1,500,001. Code: o AMEX o diner’s o visa o mastercard Please check one [required]: o Absentee (Written) Bid o [3 digits Visa/MC 4 digits AMEX] Telephone Bid Please bid on my behalf for the following lot(s) up to the maximum price(s) (excluding Buyer’s premium, and any applicable taxes) mentioned below, purchasing as much below my indicated limit(s) as possible. I hereby agree and acknowledge that Antiquorum is not responsible for failing to execute such bids or for any errors or omissions in connection therewith. By signing this form, I have read, understood and agree to be bound by the Conditions of Sale and Important Notices contained in the catalogue for this sale. I hereby agree and acknowledge that I am obligated to purchase and shall have no right to revoke acceptance of any and all lots for which I am the highest bidder. Winning lots (only watches) are exported immediately after sale to the Antiquorum office corresponding to the client’s address. Please refer to the “Shipping & Insurance” section at the beginning of the catalogue for details. Please note Antiquorum is not responsible for shipping clocks. Our shipping department will assist you in choosing a third party crating service. Where would you like to pick up lot(s) won? Please check box [required]: Hong Kong o New York If competition necessitates, increase my bids by: (Check appropriate box) BID LIMIT IN CHF o 10% o 20% o 30% o 10% o 20% o 30% o 10% o 20% o 30% o 10% o 20% o 30% o 10% o 20% o 30% o 10% o 20% o 30% o 10% o 20% o 30% o 10% o 20% o 30% Date Signature (Required) Please FAX this document to +41 (0) 22 909 28 60 ✂ LOT No. o Geneva o For online interactive bidding or online absentee bids please register online at www.antiquorum.com. 03.15.15 ATQ GV 240-248.indd 9 2/20/15 1:32 AM