Medefiziks Agreement Form

Medifiziks CLIENT AGREEMENT FORM
Client Name*

First NameLast Name
Email*
example@example.com
Delivery Address *

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*
Please enter a valid phone number.
How did you hear about Medefiziks?
Have you viewed Medifiziks portfolio?*
The portfolio will give you an idea of what want in your commission before submitting this agreement form.
When would you like to start the commission?*
May take up to 2-3 weeks to complete commission. There will NOT be any additional costs if commission is completed earlier than expected.
Please choose one*

Pickup orderDeliver order
Estimated Date for pickup/delivery*

MonthDayYear
Date
What are you looking for in the commission? (Describe in full detail)*
An email will be sent if you are NOT specific. You can also send an email of an image to medefiziksartwork@gmail.com if the artwork is too complicated to describe.
Do you wish to keep in contact through email for periodic updates of your commission?

My Products*

Cash, Credit or Debit Card
NO CASH PAYMENTS WILL BE ACCEPTED IF AGREEMENT FORM IS COMPLETED ONLINE. CARD ONLY.
Remaining Half payment details*
Payment details for when the artwork is picked up or delivered.
Would you like a certificate of authenticity?*
I,First Name* Last Name* will be the one responsible for the purchase and handling of this art commission. I will be the only one receiving this physical artwork. Signing this agreement form confirms that I will pay 50% of the commission fee before the artwork begins and I will pay the remaining cost upon delivery/pickup. I understand that if I do not pay the remaining cost I will not receive the painting and will not be issued a refund.
Signature of client*

Clear
First and Last Name
Signature of artist

Clear
Should be Empty:

Medifiziks CLIENT AGREEMENT FORM