Consignment

CONSIGNMENT AGREEMENT Owner's Name Address
City,	State,	Zip
Daytime Ph:	Evening Ph:	Cell Ph:
Clear Title? Yes	No No	Lienholder
Lienholder Phone:	Payoff Amount	Account #
Dou You Have Insurance On This Vehicle? YESNO
VEHICLE DESCRIPTION
Make		Model
Color	Mileage	Condition
Year		VIN #
Accessories, Options, Customizing (Please Be Specific)
Terms & Conditions: 12% of Selling price or $300 ( whichever is greater) commission to be paid to RUA Motorcycles & Accessories You agree to leave the bike at RUA Motorcycles & Accessories for a minimum of 90 days If bike is removed from RUA Motorcycles & Accessories you will pay $75 removal fee.
I hereby authorize the above described motorcycle to be consigned for sale at RUA Motorcycles & Accessories and grant you and/ or your employees permission to operate the "vehicle" herein described above for the purpose of testing or inspection. RUA Motorcycles & Accessories will not let a prospective buyer "test ride" the vehicle described herein without your express permission. RUA Motorcycles & Accessories is not responsible for loss or damage to, or articles left in/on the "vehicle" herein described above in case of fire, theft or any other cause beyond our control.
I Agree to the above Terms & Conditions "BE SAFE" "BE HAPPY" "BE FREE"