Intake Form

Seller Intake & Purchase Agreement

Please complete this form when selling items to Pixels and Reels Media Emporium.

Name

Phone

Describe the item(s)

Condition details (include defects, missing parts, etc.)

Photo links (optional)

Please check each box to confirm:

I confirm I am the lawful owner of all items and they are not counterfeit or stolen.

I have accurately disclosed all known defects, issues, or missing parts.

I understand all sales to Pixels and Reels Media Emporium are final once completed.

I agree to all terms of the Seller Intake & Purchase Agreement.

Seller Signature (typed)

Date

Buyer Representative (to be completed by Pixels & Reels)

Buyer Date