Whether you buy an orginal painting or a Limited Edition Print, you should register that purchase with the artist.

Please print down this page and fill it in and send it to

Home Farm Art Gallery

100 Dave Wintsch Rd., Munfordville, KY 42765

Art Purchase Registration

Date of Purchase:______________

Title of Purchase:________________________

Artist:____________________________

Original Oil [ ] Watercolor [ ] Pastel [ ] Mixed Media [ ]

Limited Edition Print number _____  Functional Art [ ]

Stained Glass piece [ ]

Price paid $_______

Purchased from Artist website [ ] Gallery [ ] eBay [ ]

Other website [ ] name of site:____________________

Was this work of art purchased for yourself? [ ] As a gift? [ ]

Your name:_________________________________

Address:___________________________________

City:__________________ State:______ Zip:______
Email:_____________________

Telephone:___________________

Would you like to be alerted by when another art piece is offered by that artist.  [ ] yes [ ] no

Alert me by email [ ]   U.S. mail [ ]