Mongerson Galleries - Bronze Authentication


	BRONZE AUTHENTICATION

	Please find the painting authentication form here. Available for download is a PDF of the form which can be mailed to the gallery. The PDF can be downloaded here. (Windows users right click and choose "Save As" from the menu. Mac users control click and choose "Save Linked File As") Available for printing direct from your web browser is a file available here. The image may look rather large on your computer screen, but it will fit on standard size printer paper. Simply go to the "File" menu on your web browser and choose "Print".


	PERSONAL INFORMATION
First Name:		Last Name:
Email:		Home Phone:
Address:		City:
State:		Zip Code:
Work Phone:		Facsimile:

	BRONZE INFORMATION
Artist:		Title:

	Height of bronze from bottom of bronze to highest stable point:		Length of base at longest point:


	Width of base at widest point:


	BRONZE MARKINGS
	If Roman Bronze Works:		Other Foundry Mark:
	N. Y. Inc. N-Y N.Y.

	Size of Stamping		Foundry Mark Case:
	1/8 inch 3/16 inch Other		Upper Case Only Upper and Lower Case

	CAST INFORMATION
	Cast Number:		Location of cast number:


	How is the cast number stamped?		Copyright notice:
	e.g. No20 N20 20 Other

	Is bronze attached to a marble base?
	Yes No

	BRONZE HISTORY
	Purchased or acquired from whom?		Purchased or acquired on what date?


	Who were the previous owners?

	Home Phone:	All information will be kept strictly confidential. In the event that we wish to publish any of the material above, you will be advised and sent a publishing request form. Thank you for your help.

704 North Wells Street Chicago, IL 60610 Telephone 312-943-2354 Facsimile 312-943-9560 info@mongersongalleries.com