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Consignor Information Form

 

# of Items Being Sent at This Time: ______________

 

Name:_______________________________________                          

Email:_______________________________________                         

Phone #:_____________________________________

 

Alternate Phone # or other contact information:

____________________________________________

 

Please Indicate How You Wish to Receive Any Payments:

_____by e-transfer to the above email

_____by cheque mailed to me at the address below

 

Your Mailing Address:   ________________________________

                                         ________________________________

                                         ________________________________

                                         Postal Code:_____________________