Host certificate

This host certificate helps me keep track of the artwork, and help the art-piece complete it self, as part of the piece is online on my website and social media. 

Please add a picture of the adopted immigrant to instagram and mark it with this hashtag #55immigrants @david_ramirez_gomez_

ALL YOUR PRIVATE INFORMATION IS ONLY FOR PERSONAL USE, JUST THE NAME OF THE CITY WERE THE PIECES ARE HOSTED WILL BE POSTED ONLINE. 

Name *
Name
Address of the artwork 55 immigrants *
Address of the artwork 55 immigrants
All blanks must be filled-out

Thank you for participating 

David Ramirez Gomez and Galerie 55Bellechasse.