Indo-American Arts Council, Inc.

M.F. Husain		Akbar Padamsee

B. Prabha		Ganesh Haloi

Lalu Prasad Shaw		Laxma Goud

Paritosh Sen		Sanat Kar

Shyamal Dutta Ray		Baiju Parthan

Indrapramit Roy		Akhilesh

IAAC & Aicon Gallery Fine Art Benefit Auction

To bid in person please submit this Registration Form to IAAC for Pre- Registration via email at harry@aicongallery.com or bring it to the auction for registration at Aicon Gallery, 35 Great Jones St, NYC.

Sale Title:

Number:

Date:

Title:

First Name: *

Surname: *

Company Name:
(if applicable)

Client Registration No

Address:

City: *

State/Country: *

Zip code:

Phone:

Day Evening

Phone Number:

Fax :

Email: *

All Bidders are asked for an ID in order to facilitate the registration. The Documents required for this could be a Photo ID (driving license, national identity card, or passport) and, if not shown on the ID document, proof of current address( for example a utility bill or bank statement).

Agents acting on behalf of other parties: identification documents for yourself and the other party, together with a signed letter of authorization.

Financial Information:
Mode of Payment:
Proof of Identification:

OFFICE USE ONLY
Referred by ( IAAC Committee Member):
Date:
Registered by (Gallery Staff):
Date:
Paddle No:

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