BOOK CONSIGNMENT FORM

SUPPLIER NAME: __________________________________________

ADDRESS: __________________________________________

PHONE: __________________________________________

EMAIL: __________________________________________

TITLE / ISBN:

CONSIGNED TO: __________________________________________

MANAGER: __________________________________________

COPIES _______________

DATE _______________

WHOLESALE COST _______________

RETAIL PRICE _______________

RECEIVED BY ___ ____________________ DATE_____________

I understand it is my responsibility as the supplier to check with the store within three months to determine the status of merchandise left on consignment. I agree that ______________ will not be held responsible for merchandise that I do not periodically check on each quarter. Unsold merchandise remaining at that time can be returned at supplier’s expense upon prior approval.

SUPPLIER SIGNATURE DATE:

_________________________ ____________

STORE MANAGER: DATE:

_________________________ ____________

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