H.R. Harmer Inc.

Consignors Form

H.R. Harmer, Inc.
5 Fracis J. Clarke Circle
Bethel, CT 06801
USA

203-702-8490
1-800-782-6771
Fax: 203-791-1832

Click here to go to a printable form which you can mail or fax to the address above.

I understand that the property will be insured against loss, both in transit (As Detailed under Transit Insurance) and while in your custody, and that you will acknowledge it promptly upon arrival at your Galleries.

The stamps are being dispatched by:
(QUOTE CARRIER)

in accordance with instructions detailed in your section regarding Shipping.

The shipment comprises of packages and I estimate its Market
value to be .

I am:
the owner
the executor
the beneficiary
the agent for the owner
other .
The property is free of encumbrances of any kind.

INSTRUCTIONS

Please choose from the following:

1.	Proceed with the unreserved Auction of the property, pursuant to Sale by Auction.
2.	Proceed with sale by Private Treaty, pursuant to Sale By Private Treaty.
3.	Appraise the property, pursuant with Appraisal and Estate Information.
4.	You may use my name in association with the sale.
5.	For sale by Outright Purchase, pursuant with Outright Purchase.

My asking price is .

6. Special remarks or questions:

NAME (IN BLOCK LETTERS, PLEASE):

ADDRESS:

CITY: STATE: ZIP CODE:

Email: Tel.:

By submiting this form, you are electronically signing the form.

I wish to consign a philatelic property to you.
I will wait for a response before shipping the property.