Online application form | Fundació Gala

Application form

*All fields are required

The registers with asterisk must necessarily be filled in*

Data of the applicant

Applicant

I wish to sign the application in my own name I wish you sign the application on behalf of an institution/company

Name and Surname/Company or Institution*

Identity Card/VAT number*

Contact person

Address*

E-mail*

Phone

Description of work

Please, provide as much information as possible:

Title

Date of work

Technique

Support

Dimensions (in cm)

Signature*

Inscriptions*

Interventions on the back

Provenance

Last price paid

Attach Image*

Enclose a digital image. For more than one image, please send a zip document. The image should be not bigger than 2 MB.

Comments
Historical and background information, characteristics, bibliography, exhibitions, and any other known information.

Historical and background information, characteristics, bibliography, exhibitions, and any other known information.

Has an appraising and/or certification been applied for ever before? *

Yes No

If so, please state whom to, when and the results of it

Payment

Upon reception of the invoice sent by the Secretary of the Authentication and Cataloguing Committee, you are requested to pay the expertization fee by bank transfer to cover the general research expenses.

Legal notice

I have read, understood and accept the Privacy and Data Protection Policy *

The fields in the form that are marked with an asterisk are indispensable for attending to your request; providing your data in all the other fields is voluntary. Not filling in the fields to provide the data requested, or filling them in only in part, could result in the Foundation not being able to attend to your request.

GALA-SALVADOR DALÍ FOUNDATION will process my personal data in order to manage and handle my request; send me information -including by electronic means- on the activities of the Foundation; comply with its legal obligations. The Privacy and Data Protection Policy indicates how I can exercise my rights of access, rectification, erasure, restriction, portability and objection.

Application form

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