ART DONATION FORM

Thank you for making a donation of art to our Congregation. We have received many donations over the years, and while some of them are perfect for our Collection, others are not.

Please fill out this form to the best of your ability to help us in our evaluation.

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Name: _____________________________________________

Mailing address: ___________________________________________________

Daytime phone: ______________________________________

Email address: _______________________________________

Description of artwork subject: _________________________________________

Artists name: ________________________

Signed: Yes_______ No_________

Size in inches: Height_____________ by Width_____________

Year created: ________

Materials: ______________________________________________

Fair market value of the work and its frame: _____________________________

Date of donation: ___________________________________

If we do not add this work to our Collection, do we have your permission to use this donated artwork in any way deemed to be in the best interests of the Congregation? This could include selling, auctioning, or donating the work elsewhere.

YES___________ NO___________ (We will ask you to pick up your piece if it is not accepted.)

_______________________________________

Signature of donor

By signing, you are declaring that you have the right to donate this piece, that you have clear title to the artwork and that you are willing to have the Congregation evaluate the work to be added to our Collection, or sold to benefit the WJC.

Send to: Kehillat Lev Shalem ~ Woodstock Jewish Congregation, 1682 Glasco Turnpike, Woodstock, New York 12498 -

845.679.2218 - www.wjcshul.org

The Gallery Committee will be evaluating all work donated in the past and the future, to determine the most effective way to use this work of art to support the Congregation. If we do not hear from you, your donation will be processed accordingly.