THANK YOUfor your adding a piece of my art to your collection Receive your Certificate of Authenticity for original artworks and more information about your piece. Title of artwork * Please indicate title and or description of artwork Catalogue Number See number on the back of artwork if available Year created What services are you interested in? * Please mail me a certificate of authencity of the artwork listed above. I would like some information on the artwork and techique used. Name * First Name Last Name Email * Phone (###) ### #### Address Please add an address for your Certificate to be mailed to or if you would prefer a digital version via email please indicate in the message box below. Address 1 Address 2 City State/Province Zip/Postal Code Country Message Any further comments Thank you! I will be in touch.