Online Certificate For best protection and authentication of your artwork, please register your purchase, all information will remain strictly confidential, thank you. *Email ART WORK INFORMATION *Hologram serial number *Title of the work *Edition number *Size of the work in inches OWNER'S INFORMATION *First Name *Last Name Name of the collection if applicable Location of the collection *Do you wish to receive occasional information about the artist work YesNo PURCHASE INFORMATION Name of the seller Date of purchase Location of purchase Price of purchase Notes