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  1. Artist's name, phone number, email and mailing address; and donor's information if different from the artists.
  2. Artist's qualifications (may include graphic descriptions of similar art pieces and their locations; and any current or past affilitation with Montana State University).
  3. A written description of the physical art piece including medium and materials; dimensions (height by width, weight as appropriate); base or pedestal materials; and any inscription, artist signature, identification number, etc.
  4. A statement evaluating the appropriateness of the art piece to the Montana State University community (and if independent contact has been made with MSU constituents or departments, please provide those details.).
  5. A graphic description of the art piece, including either photos or drawings (photographs submitted will be retained with this form).
  6. Description of the commemorative plaque with the art piece (dimensions, design, message, and how displayed).
  7. The installation needs for the art piece, including proposal sites and location restrictions. Montana State University will consider proposed sites but makes the final decision as to the display location and will coordinate the installation. Costs assocaited with installing and maintaining the art piece will be part of the determining factors in accepting the art proposal.

The signatures below indicate approval of the terms listed above.

Signature:

Date:

Director, MSU Campus Planning, Design & Construction or Director, MSU Facilities Services

Signature:

Date:

Donor