Date _____________ Referred by _______________________ Customer Number______________
EBay Services of Texas
Customer Information, Agreement and Items Receipt Form
Phone 210-824-8677, Fax 210-341-5404, Nationwide Toll Free 1-877-824-7720
Seller Name/Company:________________________________________________________________________
Address/E-Mail: _____________________________________________________________________________
Home/Work/Mobile Numbers: _________________________________________________________________
Description of items if applicable: Manufacture/Date/Year, Brand,, Model, Serial #, Quantity, Condition, Style, Size, Dimensions, Type, Color, Weight, Original Purchase Price, Estimated Current Values,
Also: Any and all know problems, defects, damage, previous repairs, known history, etc.
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Other Terms and Agreements: _________________________________________________________________
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Total Number of Items Received By ESOT Rep. ________. ESOT's Final Value Fee/s ___________________
If Necessary, additional pages for Descriptions, Information, Conditions, Notes. Indicate here: Yes / No
Prepayment fee, If Any, paid by Customer: Amount $_________ Check# _______Cash _______CC: _______
Credit/Debit Card Information: Name on Card, Card #, Billing Address, Exp. Date, 3 Digit Code, MC/VISA
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Customer Authorization & Signature ____________________________________________Date___________
Customer Understands and Agrees to the following EBay Services of Texas Terms & Conditions:
Seller agrees to promptly release the item/s up for sale upon request, if not already in ESOT's possession, once sold for shipment/deliver to the buyer. Seller is aware that EBay sales are binding contracts and that sellers are obligated to deliver there items just as buyers are obligated to pay for them. Sellers not doing so are fully responsible for any and all EBay fees as well as a $50.00 fee for ESOT's posting cost. Payment to seller is generally made within 5-7 days of the successful delivery to the buyer not withstanding unforeseen shipping problems, damage, lost-in-transit, etc. or item related issues, DOA (Dead-on-Arrival), Not-as-Described and so on.
Customer agrees to the terms and conditions in this contract: Yes _______ Customer Initials:____________
ESOT Representative Name & Signature _________________________________________ Date __________
Customer Name & Signature ________________________________________________ Date___________
Web-Site: www.EBayServicesofTexas.com Email: Info@EBayServicesofTexas.com <http://www.EBayServicesofTexas.com Email: Info@EBayServicesofTexas.com>
