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Certificate of Authenticity


Complete the form below to request a certificate of authenticity for your Victor Tapias Original Artwork.  After submitting the form, you will be sent an email asking to send a photo of the front and back of your original artwork.  All fields required, only complete request will be processed.


First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Title of Work:
Purchase Date:
Purchase Amount US$:
Purchase Location:
Description:
Describe Physical
Condition of Artwork:
Please submit any other info and complete  precedence of Artwork
 
IF YOUR ARTWORK IS PART OF AN EDITION, FILL BELOW:
Edition Number:
Is this piece embellished? (yes or no):

The collector warrants that he or she possesses unencumbered title to the artwork listed above and that their desSavecriptions are true and accurate.

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