Second Hand Consignment

Lifestyle Surf Shop, 21 York Road Muizenberg 7945 - Tel: 021 7888218

Email: infor@lifestylesurfshop.co.za - Vat Reg: 4730124379

Full Name

Phone

Bank Name & Account No:

COMMISSION STRUCTURE: 20% OFF THE SELLING PRICE WITH A (MINIMUM FEE OF R250) 15% VAT ADDED

Description of Goods

Item 1:

1. Shop Code

1. PLU

1. Brand and Model

1. Size and Description/Colour

1. Customer Price

1. Selling Price

1. OFFICE USE ONLY - Sold / Payment

Item 2:

2. Shop Code

2. Brand and Model

2. PLU

2. Size and Description/Colour

2. Customer Price

2. Selling Price

2. OFFICE USE ONLY - Sold / Payment

I acknowledge that I am the rightful owner of the abovementioned goods which LIFESTYLE SURF SHOP undertakes to sell for me on a consignment basis. LIFESTYLE SURF SHOP will not be held liable for any accidental loss or damage thereof. All monies due to you upon the sale of your equipment will be electronically paid into your nominated bank account with the reference "LIFESTYLE SURF SHOP"

Customer ID

Lifestyle Staff Name

Customer Signature

Please upload a photo of each item.

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