Lending application form

Language English

Practical data

Identification of the work *

This field is mandatory

Exhibition site *

This field is mandatory

Start date *

Day

Month

Year

This field is mandatory

End date *

Day

Month

Year

This field is mandatory

Preview date *

Day

Month

Year

This field is mandatory

Exhibition title *

This field is mandatory

Organizer

Name of the institution *

This field is mandatory

Person authorized to sign the loan agreement *

This field is mandatory

Function of this person *

This field is mandatory

Administrative address *

This field is mandatory

Contact person *

This field is mandatory

Contact person’s function *

This field is mandatory

Tel *

This field is mandatory

E-mail *

This field is mandatory

Scenario and location of the work in this scenario

Overall exhibition concept *

This field is mandatory

Why is it important to have this work in the exhibition? *

This field is mandatory

Other works requested on loan for this exhibition

This field is mandatory

Exhibition catalogue author(s)

This field is mandatory

Exhibition conditions (security, temperature, humidity levels, lighting) *

This field is mandatory

Transport (company + date) *

This field is mandatory

Insurance (company + date) *

This field is mandatory

Attachment

Files

Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png txt odf pdf doc docx zip.

CAPTCHA

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