Preparer’s Signature. The person completing the DBE commitment form on behalf of the consultant’s firm must sign their name.
Preparer’s Signature. The person completing this section of the form for the consultant’s firm must sign their name.
Preparer’s Signature. Please sign and date the form in the space provided. If preparer is other than the artist, then describe affiliation to artist or relationship with the Work (i.e. owner of the work, artist’s representative, artist’s spouse, trustee of artist’s estate etc.) (last) (first) (middle initial) Ethnicity: Δ Anglo Δ Black Δ Hispanic Δ Asian ⎦ Other Discipline Δ Painting/Drawing Δ Sculpture Δ Ceramic ⎦ Fiber Art Δ Photography Δ Film/Video ⎦ Other
