CONSIGNMENT FORM

Name of Band or Company: ________________________________________
Address: _______________________________________________________
Phone/Fax: ________________________


Store:________________________________________
Salesperson:__________________________________
Date dropped off:______________________________
Due Date: ___________________	___________  days

Quantity	Description (Title)		Unit Price	Amount
_______     ________________________________	$ ________	$ ________
_______     ________________________________	$ ________	$ ________
_______     ________________________________	$ ________	$ ________
_______     ________________________________	$ ________	$ ________

						SUBTOTAL	$ ________
						TOTAL DUE	$ ________



___________________________________________
Signature of Store Representative

Name and Title