Consignment form

customer copy

Melbourne Division
160 Dawson Street
Brunswick West 3055

Phone (03)93806044
Mobile : 0412345830

Hobart Division
208 Warwick Street
Hobart 7000

Phone : (03)62347034

Date

Item

Format

Quantity

Retail Price

Wholesale Price

Commission (%)

Sign Below

Chiltone Records

Email : chiltonerecords@hotmail.com