CARL ANDRE CATALOGUE RAISONNÉ
Registration Form

Thank you for completing this form, confirming your ownership of works(s) by Carl Andre.  (Boldly outlined fields
are of primary importance.) For additional work(s), please fill out separate form(s). For further questions, please contact catalogue@camkfoundation.org.

TITLE:
DATE:
MEDIUM:
DIMENSIONS (H x W x D) / DESCRIPTION:

OWNERSHIP:

Current Owner     Previous Owner

COLLECTION CREDIT:

Thank you for completing as much of the following information as is presently available to you.

PROVENANCE (Acquisition from, date of purchase, other known previous owners):

If applicable, DEACCESSION (Please provide date and contact information):

CURRENT INSTALLATION (Please provide details of installation (exhibition, venue):

OTHER INSTALLATIONS (PREVIOUS OR UPCOMING) (Dates, venues, exhibitions):

CERTIFICATE AND DIAGRAM (PLEASE PROVIDE A COPY):

PUBLICATIONS:
VISUAL MATERIALS (Please provide digital file(s), full caption and photo credit information, when available.  Regarding image rights, please refer to the attached image request sheet):
CONTACT PERSON FOR FUTURE INQUIRIES (Name, telephone number, email, fax):
ADDITIONAL INFORMATION (Please include any further information, anecdotes and/or correspondence with the artist about the work(s) in your collection):

Please return this form and related materials to:

         Carl Andre and Melissa L. Kretschmer Foundation
         10-02 37th Avenue
         Long Island City, New York 11101
         917-907-0460
         catalogue@camkfoundation.org