Full Name:
Organization:
Address:
Phone Number:
Email:
Contact Person (if different from donor):
Website (if applicable):
How did you hear about us?
Title of Artwork:
Artist's Name:
Date of Creation:
Medium:
Dimensions (Height x Width x Depth in inches or centimeters):
Brief Description of the Artwork (including subject matter, style, and any unique features):
Estimated Fair Market Value:
Provenance (History of ownership, if known):
Artist's Biography/CV (if available):
Digital Image of the Artwork:
Condition Report:
Appraisal Documentation:
Exhibition History:
Publication History:
I certify that I am the legal owner of this artwork and have the right to donate it.
I certify that, to the best of my knowledge, this artwork is authentic.
I hereby irrevocably donate the artwork described above to [Organization Name], relinquishing all rights, title, and interest in the artwork.
I understand that [Organization Name] has the right to use the artwork for its mission, including exhibition, education, research, and fundraising purposes.
I have read and agree to the terms and conditions outlined in this donation form.
Please sign here.
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