CONSIGNMENT REQUEST AND AGREEMENT

WITH ImageChic.com

CONSIGNOR INFORMATION

Your e-mail address: * (Must be a valid e-mail address)

First Name: *

Last Name: *

Company Name (if applicable):

Contact Phone Number: * Day Evening

Mailing Address: * (Street, Suite/Apt.)

City: *

State:

Postal Code: * (If you live in a country without a Postal Code Enter "None")

Country: * (If other than U.S.A.)

Method of payment will be via check payable to the Consignor

1. I, , hereby agree to engage the services of ImageChic.com ("IC"), to take possession of the within described item(s) for the purpose of consignment sale on my behalf.

2. I ("CONSIGNOR" or "I") understand that if the item(s) consigned are not authentic, I may either have them returned to me at my expense or opt to have the item(s) destroyed by IC.

3. I agree that IC will receive sale proceeds exceeding the amount to be settled with me. The amount agreed upon between IC and me will be paid to me via check within 30 business days after buyer's payment has cleared.

4. I understand that IC will recommend an opening or minimum price at which the item(s) will be listed for sale, but that this price is negotiable.

5. The fee due to IC for consignment service is 40% of the selling price, unless another rate is negotiated in writing.

6. Any and all fees associated with the sale of my items will be deducted from the sale price, for purposes of determining the amount that is remitted to seller.

7. I understand that with respect to the item(s) I am consigning, IC will not make any agreements with any other party without my written consent.

8. I understand that IC will use all reasonable and due care in protecting the item(s) given for consignment sale.

9. I understand that IC will photograph, display for sale, safely package and ship the item(s) being sold and that I shall not incur any charges in this process. I further understand that IC shall have the sole discretion as to where the item(s) will be displayed or advertised for sale.

10. I understand that IC allows layaway sales, whereby buyers may take up to 60 days to make payment in full, after a 20% deposit. I will receive payment within 30 days after the buyer completes payment of the item.

11. I hereby affirm that the item or items that I submit to you were obtained legally. I am the owner and I am fully authorized and entitled to sell the items.

12. I understand that the item(s) may or may not sell at the agreed upon price and that I shall hold IC harmless for any time or monies lost or expended during the listing period. I further understand that upon written notice to IC, I may opt to have the item(s) returned to me at my expense, at any time.

13. I understand that IC will obtain an email acknowledgement from me regarding any price change(s) prior to making said change(s), in excess of 20%.

14. I understand and agree that this contract shall endure until the item(s) sells or IC or until Consignor terminates it in writing.

Description of Items for Sale

(use one box for each item)

Item 1

Item 2

Item 3

Item 4

Comments or Special Instructions

By submitting this form, Consignor acknowledges having read and accepted the terms herein.

Items in red and marked with an (*) above must be completed. Incomplete forms may delay the process.

Have you read and agree to abide by the above terms and conditions? *

All information submitted will be held in the strictest of confidence.

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