Information Request Form

CATALOGUE RAISONNÉ SUBMISSION FORM

To register your work for consideration for the catalogue raisonné, please complete and submit this form along with visual documentation.

Please use one form for each artwork in your collection.

We have begun the research phase of this multi-year project and appreciate your support. We will review your information upon receipt and will either file your information in the archives or contact you if further information is needed. All information provided will be strictly confidential.

Please email us with any questions.
Email: art@hackettmill.com

Title of work

Date of Work

Artwork Dimensions

Height

Artwork Dimensions

Width

Medium of Work

If “Other” please describe

Is the work signed?

Location of signature

Are there any inscriptions or labels on the back?

If yes, please transcribe information or submit photo documentation

When did you acquire this work?

From whom did you acquire this work?

Provenance information if known

Exhibition history if known

Publication history if known

Location of current work

If we need to photograph the work for the catalogue raisonné archives, would the work be available for viewing in person?

Please provide your contact information

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail

example@example.com

Phone Number

Area CodePhone Number

Your collection credit for the catalogue raisonné (e.g. your name or “Private Collection”)

Include city in credit?

Include state in credit?

Supporting documentation (please check those attached)

Other