Fine Art Evaluation Form

Step 1. Contact Info:

Please complete the form and fax to Fine Art Enterprises (831) 479-1550 or mail to Fine Art Enterprises 3100 Porter Street Soquel , CA 95073

Your Name:__________________________________________________________

Company Name:______________________________________________________

Mailing Address:______________________________________________________

City: ________________________ State :______________ Country:____________

Zip Code:___________________________________________________________

E-mail Address:_______________________________________________________

Phone Number: ______________________________________________________

Step 2. Insurance Agent Info: (Optional)

Fill out this section if you'd like to send a copy of the appraisal to your insurance agent.

Agents Name:

Insurance Company:

Insurance Address:

City:

State/Province:

Country:

Zip Code:

Step 3. Fine Art Information:

Please describe the item to be evaluated. You are not limited to this form so please include everything about the art work. (Example: Landscape, Oil on Canvas, Rolling hills in background, Meadow with Trees, etc.)

Description:_________________________________________________________

Artist Name:_________________________________________________________

Art Work Title:_______________________________________________________

Art Medium: Oil, Water Color, Bronze, Etc. ________________________________

Type Of Art: Original, Limited Edition, Sculpture, Etc.________________________

Edition Number:__________________Edition Size:_________________________

Is The Artwork Signed If Yes Where?:____________________________________

Unframed Art Size, in Inches:___________________________________________

Purchase Date And Amount:____________________________________________

Do You Have The Certificate Of Authenticity?_______________________________

Fine Art Enterprises 3100 Porter Street Soquel , CA 95073

Voice: (831) 477-2000 Ext. 111 Fax: (831) 479-1550 Email: rebecca@fineart-e.com Web: www.fineart-e.com

Fine Art Enterprises

Credit Card Authorization Form

Please Sign and Fax To: (831) 479-1550

Fine Art Evaluation: $65 for the first item, $45 for each additional item.

Classified Advertisement: $65 for the first item, $45 for each additional item.

American Express: ____ Master Card: ____ Visa: ____

Card Number: ____________________________Exp. Date: ______________

Authorized Signature:______________________________________________________

Cardholder Name (Please Print): _____________________________________________

Credit Card Billing Address:

________________________________________________________________________________________________________________________________________________________________________________________________________________________

Phone: _____________________________________

Fax: _______________________________________

Email:______________________________________

Fine Art Enterprises / TryArt Galleries

3100 Porter Street Soquel , California 95073

Voice: (831) 477-2000 Ext. 111 * Fax: (831) 479-1550

Email: rebecca@fineart-e.com Web Site: www.tryart.com