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Loper Football Backers 2026 Online Auction

* You will only need to fill this form out is you would like a Proxy Bidder for the Loper Backers Live Auction Items *

Would you like a Proxy Bidder for the Online Auction? (If yes, a Bidder will be assigned to you)

Would you like a Proxy Bidder for the Online Auction? (If yes, a Bidder will be assigned to you)

Name (First and Last)

Address (include City, State and Zip code)

Email

Phone

Comments


By submitting this form, you acknowledge that your information will be solely used for the purpose of placing proxy bids on your behalf during the Loper Football Backers 2026 Live Auction. All responses will be kept strictly confidential, and you identity and bidding details will not be disclosed to any other participants. You have the option to remain anonymous or disclose your name should you be the winning bidder on an item. Additionally, you will need to disclose your card information to Qtego if you win an item. The information that Qtego collects will be solely use for payments for any item that you win.

Acknowledgment

Acknowledgment

Signature

Signature