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Consignor/Donor Name *

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Last

Consignor/Donor Email *

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Consignor/Donor Phone *

Address *

Address Line 1

City

State

Zip Code

Submitted by (if other than consignor/donor)

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Last

Submitted by Email (if other than consignor/donor)

Submitted by Phone (if other than consignor/donor)

Consign or Donate? *

List of items to consgin/donate with a short description of item. *

Fabrics must be stain free and unfaded, wood surfaces must be in excellent condition.

Please provide any pertinent scheduling information: moving dates, delivery restrictions, etc.

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