If You have been notified by an Auction Service or us, that you have won a bid or have made an agreement to purchase, please print this form, fill it out and send it, along with the necessary amount due to the address given below.

Please print legibly. Thank you.

1) Auction Item Number ___________________________
2) Description of Item ____________________________
3) Your E'mail Address___________________________
4) Your Auction Name (ID) _______________________
5) Ship to Address
Company _______________________________________
Name __________________________________________
Address ________________________________________
City, State, Zip___________________________________
Phone__________________________________________
Amount of Item $_________________________________
Amount Listed for shipping to US 48 $_______________
Amount Listed for shipping to US 2 $________________
Method of Payment_______________________________
Special Arrangements_____________________________
Total Amount Enclosed $_________________________
Other Notes______________________________________

Ø Our preferred method of payment is cashiers check or money order.
Ø Bank Wire Transfer is recommended if you want something Fast!!!
Ø Federal Express is also recommended for quick delivery of payment.
Ø Personal & company checks must clear.
Ø Make all checks / payments out to Tim Zurawski - send to the address given below.
Ø If you want to do a Bank to Bank Wire Transfer, you need to call us first.
Ø We do the best we can to ship orders in a timely fashion.
Ø All sales are final. All Items are sold as is or with other statement provided for in ad.
Ø You can always call to fine tune this transaction or for other information.

Tim Zurawski
5624 SW Moundview Dr
Topeka, Kansas 66610
785-862-4747
Website Address: http://www.tz407.com/eq/list.html
sales@tz407.com - Ebay= tz407
If this is in reference to an E'bay Item, Please Leave Feedback for Us at:
http://cgi2.ebay.com/aw-cgi/eBayISAPI.dll?LeaveFeedbackShow&useridto=tz407
Thank you, and God Bless.

1) Include completed form. (keep copy for yourself.): 2) Include Payment: 3) Send to Address above.