Brokerage Firm: ____________________________________Lic #:__________________

Broker/Sales Person: _________________________________Lic #:__________________

Brokerage Address: ________________________________________________________

Brokerage Phone: __________________________Fax:____________________________

Client’s Name: _________________________________Phone:______________________

Client’s Address: __________________________________________________________

The above Brokerage Firm and Broker/Salesperson hereby registers the above Client as a potential purchaser of the following Wm. Barron Galleries, Inc. Auction Property/Properties:

Auction Date: _________________Address:____________________________________

Auction Date: _________________Address:____________________________________

I understand that, according to the term and conditions of the sale, I will be paid a ______% commission at closing, if my Client is the successful Bidder who pays for and closes on the property. It is understood and agreed that the Client must acknowledge my representation by signing this agreement. I understand that to quality for this commission, this registration form must be received by Wm. Barron Galleries, Inc. prior to the day of the auction and that I must attend the auction with my Client.

As Broker/Sales Person, I am representing my Client, the Buyer, and not the Seller. I shall hold harmless and indemnify Wm. Barron Galleries, Inc., Agent for the Seller, and the Seller from any and all claims, costs or expenses, including reasonable Attorney’s fees, which may arise out of any actions or inactions or representations made by me in connection with the sale of this property.

The signatures below indicate acceptance of the above terms and conditions by both Broker/Sales Person and Client:

_________________________________________ Date:_____________________

Broker/Sales Person

_________________________________________ Date: _____________________

Client