Custom Painting Request Form

CUSTOM PAINTING REQUEST FORM

Information in this form will be
securely emailed to me. I check
and respond to emails everyday, so
if you don't get a response, please
email me at art@andyhahnstudio.com
in case there was a technical failure.

>Contact Info

First Name:*

Last Name:

Email Address:*

Phone:

Available times to discuss by phone:
(ie: mornings, anytime between 6-9pm)
Zip Code:*

Full Address:

>Specifications

Size of Painting:

   Other Size or Specification:


   Orientation:
   Portrait
   Landscape

Thickness of the canvas:
2.5 inch
1.5 inch

Number of colors:

Match color to something in your room?
Yes
No

   If Yes, specify colors, and what to match:


Style of painting:
Color Wash
Dry Brush
Positive Drip Marks
Negative Drip Marks
Medium Texture Base
Heavy Texture Base
Shapes

*required