EmailMe Form - Free People & Mazzoni Center Vivid Art Auction

Full Name of Donor of Art *

First Last

Email *

Phone *

### - ### - ####

Address (Optional)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Are you an Employee of URBN *

Yes

No

Was this piece of art created by the donor? *

Yes

No

Other

If this piece of art was not created by the donor, what is the full name of the artist?

Title of Art Piece *

Type of Media *

for example painting, photograph, drawing, sculpture, etc.

Approximate Dimensions *

Brief biography of artist *

Please limit to three sentences, as most

Suggested Retail Value *

Any other notes about this piece?

Please upload a photo of the piece to be donated here *

Delivery of Art *

I will be able to deliver this piece of art to Mazzoni Center at 1348 Bainbridge St, Philadelphia, PA.

I will be able to ship this piece of art to Mazzoni Center.

Other arrangements will need to be made for Mazzoni Center to pick up this piece of art.

By clicking "yes" below, I acknowledge my understanding that I am offering this donation of art to be auctioned and or sold in a manner and at a price determined solely by Mazzoni Center. *

Yes