Valuation Application Form

Customer Details

First Name

Last Name

Email

Contact Number

Address 1

Address 2

Suburb

State

Postcode

Artwork Details

Artwork Name

Artist's Name

Artwork Image

Medium

Year Completed

Year Acquired

Height (cm)

Width (cm)

Height (in)

Width (in)

Artwork Frame Height (cm)

Artwork Frame Width (cm)

Artwork Frame Height (in)

Artwork Frame Width (in)

Markings

Notes