Application for Internet client registration

I hereby apply to become registrered as an Internet customer at W.A. Bolin implying e.g. placing bids at Bolins auctions through the Internet: www.bolinauktioner.se

Enter address information.     * indicates mandatory information

First name:

Last name:

 

Phone:

Cell phone:

 

E-mail:

Soc. sec. no. (Swed. residents only):

 

Att., c/o, company:

Street:

Postal/Zip-code:

City:

 

Country:

*

State

Client ID:    (if available)



I accept the terms of W.A Bolin.

 

After handling Your request W.A.Bolin will send mail to the e-mail address entered above. If Your application is approved W.A. Bolin will provide a password along with Your customer ID (in the e-mail). Please report changes concerning address and/or phone to W.A. Bolin.