Personal Information First Name: Family Name: Date of Birth: Nationality: Contact Details Email Address: Mobile Number: Professional Details Activity or Profession: How did you hear about us? Social MediaFriend/RelativeAdvertisementOther Store Interaction Have you purchased from our store before? YesNo If yes, how often? OnceOccasionallyFrequently Consignment Details What type of goods would you like to consign? Why do you want to consign them? When will you bring your items? Consent and Confirmation I have read and accepted the Policy and Procedures. Are you aware of our rules and conditions? YesNo Date: I accept the RULES&CONDITIONS.