WHEELING COIN CLUB AUCTION SUBMISSION FORM


MEMBER NAME: _____________________________ MEMBERSHIP #____________


ITEM #1 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #2 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #3 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #4 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #5 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #6 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #7 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #8 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #9 _________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

ITEM #10 ________________________________________ MINIMUM $____________ SOLD FOR $____________

SOLD TO MEMBER #__________           [  ]  PAID

TOTAL AMOUNT SOLD $____________