NFT Request Form This form should only be filled out when an item that is purchased comes with a companion NFT. Name * First Name Last Name Phone (###) ### #### Email * Type of Art Please enter the type of art purchased, whether it is an original, limited edition, or other piece. Original Signed Art Showcase Book Limited Edition Poster Art Piece Name * Put in the name of Original Art Piece purchased. Art Piece Number Enter the lot # for original piece that is being NFT'd. Date Purchased Input the date of the purchase, same date on the certificate. MM DD YYYY Amount Paid for the Art Enter the final price, with shipping, tax, and all additional purchases for the art piece. $ Name of Art Curator Enter the name of the person that executed the transaction at the exhibition. First Name Last Name Thank you for purchasing a Sabina V original work of art. We will be in touch after December 12th to transfer your Digital Ownership Certificate NFT to you.
