Request for Art From the Department of Art & Design

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Request for Art
From the Department of Art & Design
Office: _________________________
CSU location: ___________________________
Contact person: __________________
Phone number: __________________________
Email: _________________________
Answer the following to the best of your ability
and / or
□ check box for a consultation with the Gallery Curator.
Type of art work preferred (circle one)
Painting
Drawing
Sculpture
Digital Media
Fiber / Textile Art
Photography
Metals
Ceramics
Site specific
Is this request for an installation that is temporary, rotating, or permanent? (circle one)
Location of installation: ________________________________________________________
Type of wall / base at location: ___________________________________________________
Required frames, hanging devices, etc.: ____________________________________________
____________________________________________________________________________
Equipment required: ___________________________________________________________
Workers required: _____________________________________________________________
Specific security issues: ________________________________________________________
Estimated cost of installation: ____________________________________________________
Budget number: _____________
Fiscal officer’s name: ______________________
Fiscal officer’s signature: ___________________
Completion Date Requested: ________________ Actual Date Completed: ______________
Mail form to BHS 600
Questions? Call x3984
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