Absentee Bid Form

Date Submitted:________________

I understand and agree to the "Terms and Conditions for Absentee Bidding" and I authorize Thompson & Riley to execute the following bids on my behalf. I understand that absentee bids are irrevocable and I agree to be bound by the following bids and to pay the bid amounts if I am the successful bidder.

Signature _______________________________

When completed, submit this form to the registrar or fax to (859) 252-6670.

For office use only: Date/Time Submitted:_____________ Verified by:____________