Incoming Artwork Loan Agreement Form

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University of Northern B C
3333 University W ay, Prince George, B C V2N 4Z9
Ph: (250) 960- F ax: (250) 960
E mail:
Incoming A rtwor k Loan Agreement Form
Received from:
Name:
________________________________________________________________________
A ddress:________________________________________________________________
Phone No:____________________________ E mail: ____________________________
I hereby loan the following artwor ks to U N B C for the purpose of exhibition:
Description of wor k & Q uantity: Include photo(s) if possible
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
T he Duration of the Loan is for:
________________________________________________________________________
W aiver
The undersigned agrees not to hold the UNBC Arts Council and the University of
Northern British Columbia or any of their members, staff or volunteer workers, liable for
any damage, loss or injury to person or property sustained by reason of accident or
incident occurring in or about their premises. Further, I waiver any claim I may have with
respect to any loss or, damage, or injury to my work submitted under loan agreement.
The undersigned has read and agrees to this statement.
A rtist Signature: ______________________________________________________
Date: _______________________________________________________________
Received by: ____________________________________________ Date: _____________
(Representative of UNBC)
************************************************
I hereby acknowledge the safe return of the material described above:
_______________________________
__________________________________________
Date
L ender

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