CERTIFICATE – Comité Michel Macreau

First Name *

Last Name *

Address

City

Zip Code

Pays

Phone Number

Email Address *

In case of representation - information about the owner *

Title *

Medium *

Dimensions *

Signature, indication(s) *

Provenance (identity and information about previous owners, if possible) *

checkboxBy checking this box, I confirm that all the information provided is truthful and complete.

Please attach clear photos of the artwork, showing both the front and the back, as well as any specific details.

checkboxRGPD I consent to the collection and processing of my personal data provided in this form by the Comité Michel Macréau for the purpose of my artwork certification request. The information collected is necessary to process your request and will be used only for this purpose. Under the GDPR, you have the right to access, correct, delete, restrict, and transfer your data..

To exercise these rights, please contact us.