PO Box 475 Southern Pines, NC 28388 USA
NC Phone: 1.910.692.5206 USA Atlanta, GA Phone: 1.404.242.9022 USA
NC Fax: 1.910.692.5103 Email: Brent@BrentAtwater.com
August 25, 2006
Art Agreement
I, (Please print)_________________________________________________ (the "Client"),
understand that B Brent Atwater, of Collections Inc., is a Medical Intuitive, Distant Healer, and Artist, and
does not present herself as a medical doctor nor as possessing any specific or formal medical training, nor
as a licensed, registered or certified practitioner or counselor.
I seek and it is my intent to hire Ms. Atwater to create a Painting that Heals™ for me.
No one representing Collections, Inc., or Ms. Atwater offers me any false hope, false expectations,
promises, warranties, or assurances of the success or the outcome of any of Ms. Atwater's artwork.
There are no guarantees for the Healing properties of this art work.
I understand and agree to the fact that B Brent Atwater owns and retains any and all copyright
interests in and reproduction rights to this Painting now and forevermore.
I have read and understand that Ms Atwater's artwork fees are pre paid before my artwork is scheduled
and non refundable. I agree to the payment conditions and to pay the total fee amounts for Ms. Atwater's
artwork in US funds.
Unframed Painting size:__________________________________ Fee:____________________
Special Instructions:________________________________________________________________________
Shipping & Handling for Unframed Painting: Cost:_____________________
Insurance: _____________________
Shipping delivery conformation: _____________________
All prices at US currency rates TOTAL AMOUNT DUE: ______________________
If I pay by credit or debit card, I understand that by providing the following information to Ms. Atwater, and
Collections, Inc., that I agree to and authorize the debit or credit card below to be charged to pay for Ms Atwater's
artwork(s). This authorization may only be terminated by the individual or legally authorized agent of said person
who owns this card, and only by written notification sent via certified mail to Collections, Inc. at the address above.
If I pay via PayPal, I agree to and authorized that transaction to pay for Ms Atwater's services. The PayPal
email address is Brent@BrentAtwater.com.
I am eighteen (18) years of age or older, of sound mind, and not under any mind altering drugs. By signing this
agreement, I acknowledge that I have read the above, have thoroughly reviewed and understand its contents, and
that I am giving my informed consent and it is my intent to agree to this contract. By my written acceptance of
this agreement, I know this document becomes a legally binding contract, and is strictly confidential.
Signature:_________________________________________________Seal Date:_____________________
Witness:__________________________________________________ Date:_____________________