I understand that the Library and the FCCA are not responsible for any loss or damage to artwork. Please sign and make a copy (for your personal records) of the COMPLETED form BEFORE you arrive to deliver your work. Bring BOTH copies when you deliver your work. One will serve as your receipt. Payment: $________________________ ($25 for first piece, $5 for each additional piece) Date Received: ________________________ Artist's Signature _____________________________________________

I understand that the Library and the FCCA are not responsible for any loss or damage to artwork. Please sign and make a copy (for your personal records) of the COMPLETED form BEFORE you arrive to deliver your work. Bring BOTH copies when you deliver your work. One will serve as your receipt. Payment: $________________________ ($25 for first piece, $5 for each additional piece) Date Received: ________________________ Artist's Signature _____________________________________________