673 Wilmer Avenue Cincinnati, Ohio 45226 513.871.1670 513.871.8670 fax [email protected] www.historicamericana.com Print form Registration No. Date/Time Received Ph/FaxMailE-mail Sale No. (FOR OFFICE USE ONLY)

Name     Address     City State Zip Phone Fax E-mail

I request that Cowan’s Auctions, Inc. (“Cowan’s”) (i) enter bids on the following lots up to the maximum price I have indicated for each lot in the “Absentee Bid” column; or (ii) reserve a telephone line for telephone bidding for the lots indicated. I request that if Cowan’s is unable to reach me for telephone bidding for a lot, that Cowan’s enter bids on such lot up to the maximum price indicated in the “Insurance Bid” column. I understand that Cowan’s will execute the absentee bids competitively on my behalf. I further understand that Cowan’s executes absentee and telephone bids as a convenience for customers and that Cowan’s is not responsible for failure to execute bids or for errors relating to the execution of my bids. I agree to be bound by the Terms and Conditions for Bidders printed in the auction catalog and listed on Cowan's web site www.historicamericana.com and I understand that I am responsible for determining the condition and authenticity of any lot, and that all items are sold AS IS with no returns or refunds.

Lot No.    Description Absentee Bid I wish to bid by phone Insurance Bid (phone bidders only)

If my bid is successful, I understand that the purchase price for each lot will be the sum of the hammer price, the buyer’s premium, sales tax and all packing, handling, insurance and shipping costs (the “purchase price”). I understand that I will be invoiced within 5 days after the auction and that I will be responsible for payment immediately upon receipt of the invoice. By signing this absentee bid form I authorize Cowan’s to charge the credit card listed below for the full purchase price of each lot for which my bid is successful, unless payment in full or alternative payment instructions are received by Cowan’s within 14 days after the date of the auction.

Visa / MasterCard Number Expiration Date Security Code (3 or 4 digit number on card) Print Name (as it appears on card) Signature (must be signed)