CONSIGNMENT SALE & RETAIL INVENTORY PLACEMENT AGREEMENT ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties to the Agreement --------------------------- This Agreement is entered into on ____________________ (____________________) by and between: Consignor Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ Consignee Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Items Consigned: _______________________________________________________ Asking / Minimum Price: ________________________________________________ Commission / Fee: ______________________________________________________ Consignment Period: ____________________________________________________ Payment to the Consignor: ______________________________________________ Unsold Items: __________________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Consignor Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________ Consignee Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________