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FACE – Insurance
Please fill out this form and we will get in touch with you shortly.
Name of Insured: Name of Additional Insured/Loss Payee: Address of Certificate Holder Loss Payee: Dates Required:
Transit insurance required? YesNo Method of transit: Transit company: Who is packing artwork? Duration of transit:
Waver of subrogation required? YesNo
Artist: Name of work: Value of work: Dimensions: Description of work:
First Name*: Last Name*: Email*: Phone*: