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PLEASE PRINT & FILL IN THIS FORM AND RETURN BY EMAILED FINE Artifice Use Only:Bidders Name:106 Melbourne Street, North Adelaide S.A. 5006 pH: (08) 8267 28 69 Fax: (08) 8267 2648 Email: info elderfineart.com.auTELEPHONEABSENTEESALE

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