Request for certification

Request for certification of a work of art by eduardo chillida

Request for certification of a work of art by Eduardo Chillida

Please fill in the details on the following form:
If you want, you can print it once it has been filled in and send it to us by fax or e-mail.

	Private owner
Name and surname:
National ID card number:
	Institution or company
Name of company or institution:
Tax number:

E-mail:
Phone number:
Fax:
	Information about the piece
Title of the piece to be certified:
Date produced:
Technique:
Size:
Origin:
Firma:
Exhibitions:
Bibliographyía:
Pictures:	Accepted file types: .jpg, .gif, .png maximun file size: 2 MB.
Comments:
	I have read the rules and have accepted the conditions.