Article Receipt

Art Submission Form**

**Please complete one form per accessions period. Box 2262, 1723 Hollis St. Halifax, NS B3J 3C8 (902)424-3087
→ Please note, filling out this form automatically creates a PDF (confirmation email will be sent upon completion) Contact us at asar@novascotia.ca should you need assistance.

*Required Information
Please check one, if applicable:

New ArtistBio Attached
Optional for new artists: how did you hear about the gallery?
HST # PLEASE NOTE: HST numbers must also be emailed to asar@novascotia.ca
Accessions Date

MonthDayYear
Date
Last Name, First Name*
Full Mailing Address Including Postal Code
PLEASE NOTE: If you have a change of address, send email confirmation of your new address to asar@novascotia.ca
Email*
Website
Phone*
Please fill in title, edition # for prints & photographs, price, medium, surface, framed dimensions and unframed dimensions (in inches).
Title of first work (without commas)*
include edition # where applicable (for photographs and prints)
Price of first work *
Medium of first work *
Surface of first work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form**
If there are any questions about a surface not present in this form, please contact us.
Framed height of first work (inches), if applicable
Framed width of first work (inches), if applicable
Unframed height of first work (inches) *
Unframed width of first work (inches)*
Depth of first work (if applicable, ie. for sculptures and 3-dimensional works)
1 Accessions #
JPG image of first work (please include images of the work unframed and framed, if applicable).

Cancelof

Add Another Piece
Last Name, First Name
Title of second work (without commas)
include edition # where applicable (for photographs and prints)
Price of second work
Medium of second work
Surface of second work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
If there are any questions about a surface not present in this form, please contact us.
Framed height of second work (inches), if applicable
Framed width of second work (inches), if applicable
Unframed height of second work (inches)
Unframed width of second work (inches)
Depth of second work (if applicable, ie. for sculptures and 3-dimensional works)
JPG image of second work (please include images of the work unframed and framed, if applicable).

Cancelof
2 Accessions #

Add Another Piece
Last Name, First Name
Title of third work (without commas)
include edition # where applicable (for photographs and prints)
Price of third work
Medium of third work
Surface of third work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
If there are any questions about a surface not present in this form, please contact us.
Framed height of third work (inches), if applicable
Framed width of third work (inches), if applicable
Unframed height of third work (inches)
Unframed width of third work (inches)
Depth of third work (if applicable, ie. for sculptures and 3-dimensional works)
JPG image of third work (please include images of the work unframed and framed, if applicable).

Cancelof
3 Accessions #

Add Another Piece
Last Name, First Name
Title of fourth work (without commas)
include edition # where applicable (for photographs and prints)
Price of fourth work
Medium of fourth work
Surface of fourth work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
If there are any questions about a surface not present in this form, please contact us.
Framed height of fourth work (inches), if applicable
Framed width of fourth work (inches), if applicable
Unframed height of fourth work (inches)
Unframed width of fourth work (inches)
Depth of fourth work (if applicable, ie. for sculptures and 3-dimensional works)
JPG image of fourth work (please include images of the work unframed and framed, if applicable).

Cancelof
4 Accessions #

Add Another Piece
Last Name, First Name
Title of fifth work (without commas)
include edition # where applicable (for photographs and prints)
Price of fifth work
Medium of fifth work
Surface of fifth work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
If there are any questions about a surface not present in this form, please contact us.
Framed height of fifth work (inches), if applicable
Framed width of fifth work (inches), if applicable
Unframed height of fifth work (inches)
Unframed width of fifth work (inches)
Depth of fifth work (if applicable, ie. for sculptures and 3-dimensional works)
JPG image of fifth work (please include images of the work unframed and framed, if applicable).

Cancelof
5 Accessions #

For new artists: please upload your artist statement and short (2-3 lines) bio here

Cancelof
Notes
For accepted work, this digital signature indicates agreement to the Terms and Conditions of Consignment below(please type your name below):
Download a copy of the Terms & Conditions here:
Date Delivered/Picked Up

MonthDayYear
Date
Check One:

Temporary ReceiptConsignedReturn To Artist (RTA)Out for Framing/Repair
Accepted by (Gallery)
Picked up by (Artist)
Consigned:

12345
Should be Empty:

Art Submission Form**

→ Please note, filling out this form automatically creates a PDF (confirmation email will be sent upon completion) Contact us at asar@novascotia.ca should you need assistance.