Limited Edition Art Print Release Form

Artist Information

Phone Number

Artwork Details

Title of Artwork Year Created Medium Dimensions (inches/cm)

Edition Details

Edition Size (Total Number of Prints) Print Numbering (e.g. 1/50, 2/50, etc.) Print Method (e.g. Giclée, Lithograph) Paper/Material

Release & Rights

Release Date Rights Granted

Artist Certification & Signature

I certify that I am the creator and copyright holder of the above work, and that this edition will not exceed the number of prints stated above. Artist Signature Date