First Name:
Middle Initial:
Last Name:
Alt. Phone:
Patron Auction Booking Form
Todays Date:
First Choice of Sale Date:
Please provide a brief description and estimated value of each item you would like to sell.
If you will have a reserve or minimum bid please indicate that amount as well
NOTICE:  By Clicking on the SUBMIT FORM button, you are notifying Roger's Springhill Auction that you would like to book in as a seller for one of our Special Patron Auctions and have read and understand the rules as posted on the Patron Auction Page of this site and are in agreement with the below paragraph concerning your selection. 

Patron Auctions will be booked on a first come, first served basis, however, we want to assure that our customers are offered a well blended mix of merchandise for every sale. Therefore, your selection as a seller will also be dependant upon the merchandise you will be offering for sale. Roger and Anne Davis, Owners of the auction will tentitively determine your booking status based upon the item descriptions and values provided by you on this form.

Clicking the Reset Form Button will clear the form.

If you would like to book in to one of our Special Patron Auctions, Please fill in all blank areas of the below form.