Commission Form

Thank you for your interest in commissioning a custom work of art. Once your form is received, I will reach out to discuss the details of your commission and answer any additional questions you may have. I look forward to working with you!

Your Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

I would like to commission a(n)...

Medium

Other

What size are you interested in?

How did you hear about me?

E.g. a friend's name, a specific art show, a certain gallery, instagram, a google search, etc

My current waitlist is approximately 3-4 months; however, I can sometimes work you into my schedule in less time depending on the scope of the project or if needed for a special occassion. If you need your commission delivered by a specific date, please let me know in the field below. I will let you know if the requested date is possible.

I am flexible on my delivery date and approximately 3-4 months works for me!

Other

I would like my commission to arrive on...

Requested date of delivery.

Delivery Options

Other

If applicable, please say what you would like included on your enclosure card.

Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If I am unable to receive my painting by the requested date above, I would like to:

Additional questions, requests or information:

COMMISSION ORDER FORM