E-mail: antiquememories@comcast.net
Phone:(703) 777-8382
Fax: (703) 777-8984

On Line Consignment Form
Print, fill out, and mail to us at address listed below.
Please be sure to include photos of your piece(s).

Name:_________________________________ Phone #:__________________________

Address:_______________________________ E-Mail:___________________________

City:___________________________ State:___________ Zip Code:________________

Brief description of item(s):__________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Price you paid if item was purchased:_________________ Purchase Date:__________

Your estimate of current value:_______________________________________________

Consignment: I / We agree to consign [item(s) name] ____________________________
to Sweet Memories Antiques to represent us in the sale of the above item(s).Sweet
Memories Antique agrees to assist you in every possible way to obtain the highest
price for the item(s) while fairly representing it to the public. I / We agree that
the fee to Sweet Memories Antiques for this sale will be 25 % of the purchase
price. Further, we may cancel this consignment with a 30 day notice 90 days after
the item appears for sale with our signature below.

Consignee agrees to pay any and all costs associated with packaging and shipment of
returned item.

I / We agree to consign: [signature(s)] ____________________________ Date: _________

Sweet Memories Antiques agrees to accept
the consigned article:
[signature] ________________________________ Date: _________

I / We prefer to cancel the consignment [signature] ________________________________

Mail To:
SWEET MEMORIES ANTIQUES
32 South King Street
Leesburg, Virginia 20175

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