Provenance Gallery

Full Name *

Email *

Phone Number (Optional)

Integration into existing pieceCommission of a new 1 of 1 piece

A brief description of your vision *

Include how you would like the artwork to be interpreted or incorporated.

Reference Garment Photos (Optional)

PNG or JPEG only. Maximum 5 files.

Type of Artwork *

Artist *

Self (I created this artwork)Other Artist

Date of Work Created

Image(s) of the Artwork *

PNG or JPEG only. Maximum 5 files.

FlexibleSpecific Date

By submitting, you confirm you hold the rights or ownership to the artwork and understand each piece is produced as a one-of-one.

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