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    Consignment Drop Off Form




    Consignment Drop-Off Form

     

     

    PLEASE PRINT THIS PAGE AND COMPLETE THE FIELDS CLEARLY

     

     

     

    Last Name: ____________________________ First Name: _______________________

     

    Address: ______________________________________________________ Apt. _____

     

    City:________________________________________State: _____ Zip Code: _______

     

    Home Phone #: (___) _____-__________  Alternate Phone #: (___) _____-___________

     

    Email:(Required)    ________________________________________________________________             

     

    When my consignment item(s) sell, I prefer to have:

     

    _____  In-store credit only

     

    _____  Website credit only

     

     

    I, ________________________ , understand and agree to the terms of this policy

     

    ________________________________________     ______________________

    Signature                                                                     Date


    For office use only

    Items on Consignment:

     

    Tag # ______ Description __________________________________________________

     

    Tag # ______ Description __________________________________________________

     

    Tag # ______ Description __________________________________________________