|
EXHIBITION TITLE__________________________________ DATE_________
Name: __________________________________________________________
Address: ________________________________________________________
E-Mail: __________________________________________________________
Phone: __________________________________________________________
I hereby release the city of Kenai, the Kenai River Council on the Arts
and the Peninsula Art Guild, their employees and/or agents for any damage,
loss, theft, destruction or diminution in the value of any personal property
that I have displayed at the Kenai Fine Arts Center, 816 Cook Street,
Kenai, by or through any of their employees or agents.
I have read the above release and agree to the terms.
Signed ____________________________________________
Date __________
LIST ENTRIES BELOW, including value of each piece which is needed for
insurance purposes (two copies will be made, one for artist’s records
and the other to be cut apart in order to label each work of art):
#______Artist__________________________________________________________
Title __________________________________________________________________
Medium _____________________________Value _____________________ NFS ____
-----------------------------------------------------------------------------------------------
#______Artist________________________________________________________
Title ________________________________________________________________
Medium _____________________________Value ___________________ NFS ____
#______Artist_________________________________________________________
Title _________________________________________________________________
Medium _____________________________Value ____________________ NFS ____
------------------------------------------------------------------------------------------------
#______Artist________________________________________________________
Title ________________________________________________________________
Medium _______________________________Value _________________ NFS ____
------------------------------------------------------------------------------------------------
#______Artist_________________________________________________________
Title ________________________________________________________________
Medium _________________________________Value _______________ NFS ____
----------------------------------------------------------------------------------------------
#______Artist_________________________________________________________
Title ________________________________________________________________
Medium _______________________________Value _________________ NFS ____
-----------------------------------------------------------------------------------------------
#______Artist_________________________________________________________
Title _________________________________________________________________
Medium ________________________________Value _________________ NFS ____
-----------------------------------------------------------------------------------------------
#______Artist________________________________________________________
Title ________________________________________________________________
Medium ______________________________Value __________________ NFS ____
-----------------------------------------------------------------------------------------------
Back to Top
|
