TCB - Auction Confirmation Form

CONFIRMATION FORM

I hereby confirm that I have bought the following coffee(s) in Lots and by Prices quoted below. I also undertake to settle in full the amount pertaining to this sale along with any other outstandings before the consignment is released to me or my agent. I am also binded by TCB Auction regulations in respect of the below undertaking.

A copy of this form will be EMailed directly to the Managing Director of TCB to confirm purchase, and also your bankers for payment follow up.

Buyers Details

Title Mr Mrs Miss

Surname

Forename

Address

Telephone

Fax

EMail

License No.

Banker's Details

Name

Address

Telephone

Fax

EMail

Account Name

Account No.

Purchase Details

( all lots charged at 50 USD per Kg )

Sale No.	Date ( dd/mm/yyyy)	Lot No.	Description	Qty ( Kg )	Amount ( USD )
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