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APPRAISALS FROM PIERSIDE GALLERY

APPRAISAL REQUEST FORM

ALL FIELDS REQUIRED

First Name (Required)


Last Name (Required)
City (Required)
State/Province (Required)
Zip/Postal Code (Required)

Country (Required)
Home Phone (Required)


Mobile Phone (Required)
E-mail (Required)
STATEMENTS:
                   
 I understand  a $49.95 fee will be charged to my credit card
____________________________________________

SPECIFIC INFORMATION:
Name of Artist


Title of Art


Size of Art


Framed or Unframed; Size of Frame; Description
of Frame, wood, metal(s), finish, condition, etc.


Edition (or other) Relevant Numbers


Additional Information (ie: condition, highlighting,
signatures, where purchased, etc.)

IMPORTANT PLEASE READ BEFORE YOU SUBMIT: AFTER YOU CLICK "SUBMIT MY APPRAISAL INFO" ABOVE, YOU WILL BE DIRECTED TO A NEW SCREEN THAT WILL PROVIDE SPECIFIC INSTRUCTIONS TO COMPLETE YOUR REQUEST. YOU MUST FOLLOW THESE INSTRUCTIONS TO RECEIVE AN APPRAISAL.