Purchase Request Form

Purchase Request Form
Exhibit Location*
What is the Title of the Artwork you would like to purchase?*
What is the Name of the Artist?*
What is the Price of the Artwork?
You will be sent an invoice with 7% NC Sales Tax added to the email address you have specified.
Full Name*

First NameLast Name
Email Address to send Invoice - Please Be Sure this is Correct*
example@example.com
Phone Number - in case the email address is invalid you may wish to provide a phone#
Please enter a valid phone number.
Please add any questions you may have and someone will reply as soon possible....If you would like to pay by check, please make a note and provide an address. We will contact you to complete the purchase.
Should be Empty: