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Consignment Form
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1. Contact Information: * Required Info About Consignments
First Name:  * Last Name:  *
Your E-Mail Address:  *  
Daytime Phone Number:  *  
2. Tell Us About Your Item(s)
Designer:
Style:  *
Production Year:
Describe Condition:
I have the following Original Box: Dust Bag: Original Tags: Authenticity Card: Receipt:
Designer:
Style:
Production Year:
Describe Condition:
I have the following Original Box: Dust Bag: Original Tags: Authenticity Card: Receipt:
3. FREE UPS Shipping Label:
After reviewing your information we will send your free UPS shipping label to the email address you provided.
Address:  *
City  *
State  *
Zip Code  *
Country  *
Additional Information or Comments:
How Did You Hear About Us?  
If Other Please Specify:  
By submitting this form to Luxury Mart on Malleries, you are stating that the above information is accurate and to the best of your knowledge the item(s) are 100% authentic.
* All consignments item(s) must be 100% authentic and be be in new, mint or gently used condtion.
* All consignments item(s) are sold in Luxury Mart.
 
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