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By filling out and submitting the form below you are allowing the artist to keep track of the art pieces. This is not a warranty of any kind, but a simple means to keep track of pieces of art.
Sincerely, Morgan Wadsworth

Contact Information:
Owners Name:
Address:
City/Town:
Province:
Postal Code:
Email:
Phone:
Artwork Information:
Artwork Title:	Please select your artwork Fertility - 2004 Yet to be developed - 2004 Dry - 2004 What it might look like - 2004 Two tall - 2004 One woman window - 2003 Swamp - 2003 Crammed - 2003 Twice broken - 2003 Roof-top - 2003 Pale - 2003 China flower - 2003 Martini - 2003 German Jet-lag - 2003 Drywall - 2003 Oranges - 2003 African - 2000 Left - 2000
How/where did you obtain this piece:
Would it be OK to contact you to display the piece in a future art exhibit for a short period of time?
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Would you like to be notified if my art is being exhibited in a gallery in the future?
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Do you have any additional comments about the artwork?