Entrupy Financial Guarantee Application Form

Entrupy aims to help our customers make sure that the items they sell are authentic. We stand behind the authenticity of any item we authenticate (each, a “Certified Item”) and provide our customers a one-year financial guarantee for every Certified Item (the “Guarantee”). While you may use the Guarantee in connection with your customers, the Guarantee is only offered to our direct customers (i.e., organizations or individuals who purchase Entrupy services) and all claims related to the Guarantee must be made by you, and not your customers. If an individual in possession of a Certified Item contacts us with questions or concerns about such item, we will refer them to the Entrupy customer from whom they bought the item.

Contact Information

Company Name * 🛈

Entrupy Username * 🛈

Authorized Person's Full Name *

Authorized Person's Email Address *

Claim Information

Description of the Item *

Brand *

Serial Number / Date Code or other unique Identifier for the Item *

Date Submitted for Authentication (YYYY-MM-DD) * +

Entrupy ID * 🛈

Claimed Amount *

Currency Code * 🛈

Guarantee Payment Amounts:

Entrupy direct customer (transaction type)	Financial Guarantee Payment (in the event of Authenticity being not confirmed)
Outright purchase	100% of the documented purchase price paid by you for the item *
Pawn loan	100% of the documented loan value paid by you for the item *
Consignment or marketplace transaction	100% of the value of any commissions paid or due to your consignor for the item *
Donation	Entrupy will pay you $100.00

* If the item was purchased outright, Entrupy will pay you 100% of the documented purchase price paid by you for the item.

How did you procure the item? *

Since the item was originally submitted for Entrupy authentication, did the item leave your possession (e.g. was it sold to a customer?) *

Yes

No

Please enter any relevant details to support your claim. *

Copy of Original Procurement Documents

Please ensure that the document includes all of the following information:
(1) Amount Claimed
(2) That the amount was paid by Certificate holder, and
(3) Clearly indicate the bag in question. * 🛈

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