CONSIGNMENT FORM Name of Band or Company: ________________________________________ Address: _______________________________________________________ Phone/Fax: ________________________
Store:________________________________________ Salesperson:__________________________________ Date dropped off:______________________________ Due Date: ___________________ ___________ days Quantity _______ _______ _______ _______ Description (Title) Unit Price ________________________________ $ ________ ________________________________ $ ________ ________________________________ $ ________ ________________________________ $ ________ SUBTOTAL TOTAL DUE Amount $ ________ $ ________ $ ________ $ ________ $ ________ $ ________
___________________________________________ Signature of Store Representative Name and Title