Click to Print This Page AUTHORIZATION OF AGENT

You may print this form (using the Print command of your browser) and mail or fax it to Fasig-Tipton as specified below.

Please complete entire form and
Mail to: FASIG-TIPTON

2400 Newtown Pike
Lexington, Kentucky 40511 ______/______/______
(859) 255-1555 Fax (859) 254-0794 Date
Gentlemen:


I hereby appoint __________________________________ to be my authorized
                    			    Name

agent in all matters pertaining to the sale and/or purchase of horses at the auction

to be conducted by your organization on ________________________________.
                                   				    		       Date


I agree to be bound in all respects by all actions of my agent on my behalf, including, but not limited to: execution of documents pertaining to such sale or purchase, granting of security interests; receipts and disbursements of funds; waiver of rights under consignor's contract, condition of sale, or law; acceptance of goods; and right to make representation regarding any animal.


I agree that this authorization shall be revocable only in writing such revocation to become effective when acknowledged in writing by Fasig-Tipton Company, Inc.


_______________________________________________________________________
Name

_______________________________________________________________________
Address

_______________________________________________________________________


_______________________________________________________________________
Signature

Subscribed and sworn to before me this

______ day of _____________________________________________ , 20 ______

_______________________________________________________________________
Notary Public