PLEASE COMPLETE THIS FORM IF YOU HAVE A SOUTH AFRICAN
OLD MASTER FOR SALE

ARTIST NAME:
CANVAS SIZE (cm):
MEDIUM:
SUBJECT OF PAINING:
CONDITION OF PAINING:
YOUR ASKING PRICE
(EXCLUDING VAT AND SELLING COMMISSION:
   
NAME:
TELEPHONE NO:
CELL PHONE NO:
E-MAIL:
PLEASE EMAIL A PICTURE OF THE ART TO:
MANAGER@BHM.DOREA.CO.ZA