Chatsworth Down Art Purchase Agreement Form

Chatsworth Down Art

Address for all correspondence:
Chatsworth Down Art, PO Box 2010, Shoeburyness, SS3 8FD Tel: +44- 0771- 5035788; e-mail: art@art-sellers.com; URL: http://www.art-sellers.com

PURCHASE AGREEMENT

Your Full Name:..........................................................................................................................................

Organisation (where applicable)...............................................................................................................

Full Address:.............................................................................................................................................

..................................................................................................................................................................

Town/City:.................................................................................................................................................

State/County:............................................................................................................................................

ZIP/Post Code:..........................................................................................................................................

Country:.....................................................................................................................................................

Telephone:.................................................................................................................................................

Fax:............................................................................................................................................................

E-mail:....................................................................................................................................................….

Is this a purchase [ ] or enquiry [ ]? Please tick the appropriate box.

Gallery Room Number:............................................................................................................................…

Artist Name:................................................................................................................................................

Title of exhibit:.............................................................................................................................................

Further Information Enquiry:........................................................................................................................

....................................................................................................................................................................

Your Full Name:............................................................................................................................................

Organisation (where applicable).................................................................................................................

Full Address:...............................................................................................................................................

....................................................................................................................................................................

Town/City:...................................................................................................................................................

State/Country:.............................................................................................................................................

ZIP/Post Code:............................................................................................................................................

Country:.......................................................................................................................................................

Telephone:...................................................................................................................................................

Fax:..............................................................................................................................................................

E-mail:..........................................................................................................................................................

Artist / painting details:

Gallery Room Number:.................................................................................................................................

Artist Name:...................................................................................................................................................

Title of exhibit:................................................................................................................................................

Further Information Enquiry:...........................................................................................................................

........................................................................................................................................................................

If you wish to purchase please sign here..............................................................................................................

Date.................................................................................................................................................................

Please note that this form will be forwarded to the artist and your agreement to purchase is with them and not Chatsworth Down Art.