Pest Control - Banksy Authentication Request (ORIGINALS)

• Please note that should the work be verified as authentic there will be a charge to issue a certficiate of authentication

• On receipt of this form you will receive an email from '[email protected]' with your authentication request number

• You may also receive emails from '[email protected]fice.com'

• Please check your spam folder and add these to your approved email addresses

Please complete all details as fully as possible

(* mandatory fields):

Current Owners Name *
Organisation (if applicable)
Address
Postcode / Zip
Tel *
Email *
Artwork Title *
Artwork Type *	--- Canvas Street Piece Other
Edition No *		Of
Signed *	--- Signed Unsigned
Dimensions *
Purchase Price *
Date Purchased *
Purchased From *
Full history, provenance, & all previous owner information

Please upload a number of clear, hi-res images of the work including signature/edition number and any copies of paperwork provenance/receipts:

Image 1
Image 2
Image 3
Image 4
Image 5
Image 6
Image 7
Image 8
Image 9
Image 10

Please Note: If you have multiple Banksy pieces that you'd like to be considered for authentication, please complete a separate form for each.