Official Consignment & Intake AgreementAgreed Split: 60% Artist / 40% Gallery

Elena Rostova: Sovereign Solitude (Solo Exhibition)

Exhibition: Sovereign Solitude • 2151 Larimer St, Denver, CO 80205

Curator Note: Solo exhibition intake. High-scale oil canvases and bronze pedestals. Ensure high-res photography for catalog.

Drop-Off Window

2026-10-01 — 2026-10-04

Deliver to gallery floor

Exhibition Run

2026-10-10 — 2026-11-22

On public view

Mandatory Pick-Up

By 2026-11-28

60-day storage cutoff applies

Artist Information & Payout Routing

Artist Public / Professional Name *

Legal Name for Tax / Payout (if different)

Email Address *

Telephone Number *

Instagram Handle

Portfolio / Website

Preferred Artist Net Payout Method *

Consigned Artworks (1)

Provide exact titles, mediums, dimensions, and desired prices.

Artwork Entry #1

Artwork Title *

Year Created *

Medium & Materials *

Dimensions (H × W × D) *

Framed / EnclosedReady to Hang (Wire / Cleats)

Consignment Pricing & Split Breakdown60% Artist / 40% Gallery

Artist Desired Net Payout (USD) *

What you receive if sold

Gallery Commission (40%)$1,667 USD

Calculated Retail List Price$4,167 USD

Condition Report / Surface Notes

Special Hanging / Pedestal Requirements

Consignment Total Summary1 Works • Total Retail: $4,167

Total Net to Artist$2,500 USD

Physical Schedule & Delivery Date

Target Drop-Off / Delivery Date *Gallery Intake Window: 2026-10-01 to 2026-10-04

Mandatory Unsold Pick-Up Deadline

2026-11-28

Following the exhibition closing date (2026-11-22)

I acknowledge the physical schedule: I commit to delivering the artwork during the intake window and retrieving all unsold works on or before the pick-up deadline of 2026-11-28.

Mandatory 60-Day Unclaimed Artwork Liability Release

LEGAL CONSIGNMENT NOTICE & DISCLAIMER

"UNCLAIMED ARTWORK & RETRIEVAL POLICY: All unsold artworks consigned for this exhibition must be retrieved by the artist or authorized representative on or before the designated Pick-Up Deadline. If the artist fails to pick up their artwork within sixty (60) calendar days following the official close of the exhibition, the gallery is released from all custody, care, and insurance liability. The gallery explicitly disclaims all responsibility for damage, loss, or deterioration of unclaimed items after 60 days, and reserves the right to assess storage fees, transfer to off-site storage, or deem the work abandoned in accordance with applicable gallery law."

I have read and unconditionally agree to the 60-Day Unclaimed Artwork Policy. I understand and confirm that if I do not pick up my artwork within 60 days following the closing of the show, Mesa Arts Gallery is NOT responsible for what happens to the artwork, and all custody and insurance obligations cease.

Digital Signature (Type Full Legal Name) *

Date of Execution

September 17, 2026

A copy of this signed consignment receipt will be filed with Mesa Arts Gallery.