ART DONATION FORM Annual Triton Gala Fundraiser: Friday, May 6, 2011 Yes, I will donate artwork to the 2011 Triton Gala event. Artist: Name Address City ST ZIP Phone Email Sign me up for your e-newsletter Work [Due to the high number of artists wishing to participate, we ask that artists donate one work, rather than multiple works of lesser value]: Title Size Medium Value Auction minimum (Rule of thumb is ¼ of the retail value. If left blank, Museum will assign minimum bid) I will attend. Please add me to the guest list and accept this as a 100% donation. I will purchase one extra ticket at half price for $75. I cannot attend, but please accept this as a 100% donation. -- or -- Please send me 20% commission on the bid price of my work. I will not be attending. WE MUST RECEIVE ALL ARTWORK BY APRIL 27, 2011 THANK YOU FOR PARTICIPATING! Triton Museum of Art, 1505 Warburton Avenue, Santa Clara, CA 95050 (408) 247-3754 www.tritonmuseum.org