DONATE TO THE AMA ANNUAL AUCTION & GALA

Our largest fundraiser of the year will be held Saturday, February 6, 2010.

"The Rise of the Pheonix" The Best Is Yet To Come...

DONATION FORM

AMA ANNUAL ART AUCTION & GALA 2010


(_______________________________________) agrees to donate artwork to be sold at the AMA Annual Art Auction and Gala to be held February 6, 2010.

Artist/Donor Information

First Name: ________________________________ Last Name: ____________________________________

Address: ________________________________________

City/State/Zip: ____________________________ ________ ____________

Email: ________________________________________ Phone: (________) __________________________

Signature _____________________________________

Artwork Information for Auction

Work Title: _____________________________ Year: ____________________

Medium: _________________________________________________________

Size: _______________________________

Value: ______________________________

DELIVER ART WORK with DIGITAL PHOTO TO AMA NO LATER THAN January 20, 2010.

Please contact Erica by phone (817 275-4600) at AMA during museum hours of operation to set up delivery OR You may email her at any time at ama@arlingtonmuseum.org.

Please let us know your gallery affiliation for use in the catalog OR if you would prefer to include a website for your artwork in the catalog, please provide that information below.

Gallery Representation:
________________________________________

________________________________________

________________________________________

Web address:

______________________________________________