Online application form

*All fields are required

The registers with asterisk must necessarily be filled in*

Data of the applicant

Applicant

I wish to sign the application in my own name I wish you sign the application on behalf of an institution/company

Name and Surname/Company or Institution*

Identity Card/VAT number*

Contact person

Address*

E-mail*

Phone

Fax

Material to deliver to the Foundation

Enclose a digital image. For more than one image, please send a zip document. The image should be not bigger than 2 MB.

If you cannot send digital material, you may send a paper photograph to our address: Pujada del Castell Road, 28. 17600 Figueres.

Description of work

 Please, provide us with 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? *

Sí No

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

Payment

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

Legal notice

I accept the privacy policy and legal notice *

Send

The fields in the form that are marked with an asterisk are indispensable for attending to your request; providing your data in all the other fields is voluntary. Not filling in the fields to provide the data requested, or filling them only in part, could result in the Foundation not being able to attend to your request.

In compliance with Spain's Organic Law 15/1999 of 13 December on the Protection of Data of a Personal Nature, the Fundació Gala-Salvador Dalí informs you that the data you provide will be included in a file for which the Foundation is responsible, for the purpose of providing the service requested and sending out commercial communications (including dispatch by electronic means) regarding the activities and the artistic and cultural services of the Foundation.

See our Policy on Privacy and Data Protection.