Parent or guardian consent

To Neo Analog Lab

I consent to the minor named below selling the items below to Neo Analog Lab through its mail-in buyback, and to the payment being made to a bank account in the minor's own name.

Request number

Minor (seller)

Name
Date of birth
Items sold

Parent or guardian

Name (signature)
Relationship
Address
Phone
Date

Once filled in, photograph the form and upload it from your buyback status page. We will call the parent or guardian to confirm.