Gala-Salvador Dalí Foundation


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EXPERTISE OF WORKS Print

APPLICATION FORM

Data of the applicant
The registers with asterisk must necessarily be filled in.
I wish to sign the application in my own name

     Name*
Identity Card*
I wish you sign the application on behalf of an institution/company

     Institution/Company
VAT number*

     Contact person
Address*
E-mail*
Telephone*
FAX

Material to deliver to the Foundation

Enclose a digital image. For more than one image, please send a zip document.
If you cannot send digital material, you may send a paper photograph to our address.

Description of work             Please, provide us as much information as possible

Date of work

Materials used

Painted on
  Dimensions

Title

Signature

Origin
Last price paid

Exhibited at/in

Reproductions made in press, brochures, books, etc.

Comments


Has an appraising and/or certification been applied for ever before?

Yes No

If so, please state whom to, when and the results of it

Payment

When the Authorizing and Cataloguing Service states so, you shall pay for the expertise expenses by cheque to Gala-Salvador Dalí Foundation-ACC, or bank transfer to the data you will be given, or cash at the Foundation’s headquarters.

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