First name: Last name:

Mailing Address:

Line 1:

Line 2:

City: State: Zip:

Phone:

Email:

Participated in a previous Second Blessing Sale: Yes No Vendor ID if known:

Approximate number of items to consign:

Please note that this is just an estimate for our planning and not a limit. Feel free to bring more than the number you specify.

Any large items to be consigned (i.e., cribs, pack-n-plays, outdoor playhouses): Yes No

If so, what type?

How did you hear about our sale?

CPSIA - Consumer Product Safety Improvement Act of 2008

By checking this box, I verify that I have visited the CPSC website and have read Section 101 Children’s Products Containing Lead, Lead Paint Rule and agree to the best of my knowledge that none of the products I am consigning exceed the new lead limit or have been recalled due to their lead content.

Second Blessings Consignment Sale Consignor Agreement

By checking this box, I verify that I have read and agreed to the Second Blessings Consignment Sale Consignor Agreement.

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