Consignment Form

Personal Details

First Name

Last Name

Mobile Number

Pick-up Address

Pick-up Date and Time

Number of Items sent to Nirvana (at least 10)

Course of action if items are rejected:

Returned to you

Donate to a charity/foundation of your choice

*Note: if items are being returned to you or being donated to charity/foundation, shipping will be shouldered by you.

Preferred Payment for Reimbursement

If you chose others, what is your chosen mode of payment?

Account Name

Account Number

Upload Signed Nirvana Consignment Agreement

I confirm that:

I have signed the Nirvana Consignment Agreement

I have reviewed the Nirvana Style Guide

I have read the Nirvana Consignment Deck