Receive Gift Paintings

Simply complete the form below to be added to the "Needy Hospital List". Completed multiple-canvas-paintings will be shipped to you as gifts as they become available. Hanging instructions are included. No framing is necessary.

We encourage you to hang these colorful paintings where patients and medical staff spend the most time, areas such as treatment rooms or long hallways in patient areas.

BOLD items are required

REQUESTER'S INFORMATION:

First Name:

Last Name:

E-mail Address:

Phone Number:

How did you hear about us?

SHIPPING INFORMATION:

Contact Name:

Title:

Phone Number:

E-mail Address:

Hospital/Organization:

Address:

City:

State/Province: If other:

Zip/Postal Code:

Comments:

"I received the shipment. I have staff from all over the hospital admiring the panels I have on display. They are beautiful. I can't thank you enough for this gift."

Ann Saczuk
Geriatrics and Extended Care Manager
VA Western New York Healthcare System

© 2008 The Foundation for Hospital Art. All rights reserved. 501 (c) (3) Nonprofit, Tax ID# 58-1563444. Legal Statement.
120 Stonemist Court, Roswell, GA 30076 USA info@hospitalart.org Phone 770-645-1717 Fax 770-645-1720