Number of Original Painintgs:
Total number of Prints:

 

Painting Number:

Piece Name:

Dimensions:

Price:

Artist take home salary of sold painting

# prints

Dimensions:

Artist take home salary for sold print

 

 

 

 

 

 

 

Signing this form states that the Gallery has recieved the above listed painitng and or prints.

 

15) Today's Date / /

16) Artist Name

17) Artist Signature

18) Gallery Representative Signature

19) Representative's Signature