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.
Mailing address: ___________________________________________________
Daytime phone: ______________________________________
Email address: _______________________________________
Description of artwork subject: _________________________________________
Artists name: ________________________
Signed: Yes_______ No_________
Size in inches: Height_____________ by Width_____________
Year created: ________
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.