Consignor Sign-ups
Consignor Number *
Name *

First
Last
Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone Number *

###		-
###		-
####
Email *
Work Hours *
 Saturday; 11:00AM- 3:00PM 
 Other (split shift, etc) 
Shifts shown above are the available times. Please select an option accordingly
If you selected "Other" for your work hours, please give us the details here.
Do you need more barcodes? *
 Yes 
 No 
If yes, which barcodes do you need?
If working Friday, will you need childcare?
 Yes 
 No 
If so, how many kids and what ages?
Date Time

MM		/
DD		/
YYYY
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