First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Cell:
Fax:
E-Mail:
Type:
If other, please specify
Medium:
Surface:
Subject:
If other please specify
Rough Size:
Specific Dimensions:
Width: Height: Depth: (specify all in inches!)
Date needed by:
Your budget (in USD): Please note that this can be a price range, a hard number, etc. This is merely here to serve as a starting point for your inquiry. If you leave this field blank, the artist will provide a price based on your other requirements.
Can you provide reference photos or images?
Yes No
If so, are they electronic images or photographs?
Electronic images Traditional Photographs
Should the artist provide framing/matting?
Where will this piece be shipped to when ready? (Either the complete shipping address, or at a bare minimum, the region, city, state, etc.)
Additional notes or comments to the artist? Such things might include framing preferences, shipping issues, stylisticndirection, or other such items.
When finished, submit your inquiry! Note: if you have attached images, it may take a few minutes for the system to pull the images from your local system. Be patient!
Image Submission(s): If you're submitting electronic image(s), please email attached photo(s) to allen@allencopelandart.com. These will be provided to the artist as reference material for your inquiry. Non electronic material can be shipped to the address below Allen Copeland l 115 River Bridge Road I Leesburg, GA 31763
