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¡Mina! THE Canadian Club HISPANIC ART TOUR LOAN AGREEMENT Exhibition will travel from February 1988 - May 1989. LENDER PHONE ( ) ADDRESS: ZIP ARTIST: MEDIUM TITLE: SIZE (inches): Height Width Depth Weight Is the work for sale? Selling Price: Insured Value: Do you own the copyright on this work? If not, who does? SHIPPING INSTRUCTIONS: Any special handling? ADDRESS FOR RETURN OF WORK (if different from above): LOAN GRANTED UNDER THE CONDITIONS NOTED ON THE FOLLOWING PAGES. FAILURE TO SIGN OR COMPLETE ANY SECTIONS OF THIS FORM MAY RESULT IN DELAY/DENIAL OF INSURANCE. Please sign and return original, retain copy for your records. SIGNATURE DATE (Lender or Authorized Agent) CCHAT REPRESENTATIVE DATE RETURNED TO DATE 321 Alamo Plaza, Suite 300 San Antonio, Texas 78205 512-227-2013