ARTEFACT DONATION FORM

For proposed Port Douglas Maritime & Cultural Precinct Display

(There is a printable downloadable version of this form at the bottom of the digital version)

Name

First Name

Last Name

Organisation (if applicable)

Phone

(###)

###

####

OWNERSHIP | Are you the legal owner of the item(s)? Y

YES

OTHER

DONATION DETAILS | Would you like to discuss a loan or alternative arrangement?

YES

DESCRIPTION | What is the item?

Briefly describe the object or collection, including material, function, and any identifying marks or inscriptions

What is its size?

Dimensions, weight, or number of items in a collection

When and where was it made or used?

If known, include maker, date, and place

How and when did you acquire it?

Purchase, inheritance, found, etc

Previous owners or custodians (if known)

Any associated documentation?

Photographs, certificates, diaries, logbooks, etc. Please attach copies if possible

HISTORY | What is the historical or cultural significance of the item(s)?

Why do you think it is important for the museum?

Are there any stories, events, or people associated with the item(s)?

Has the item been exhibited or published before?

(If yes, please provide details)

CONDITION & CARE| What is the current condition of the item(s)?

Describe any damage, repairs, or restoration

Are there any special handling or storage requirements?

LEGAL & ETHICAL | Are there any restrictions on display, use, or reproduction of the item(s)? Are you aware of any cultural sensitivities or legal issues related to the item(s)?

DECLARATION | I declare that the information provided is accurate to the best of my knowledge,

Add name and date below

DOWNLOAD PRINTABLE VERSION OF THIS SUBMISSION FORM

ARTEFACT DONATION FORM

Low Isles Preservation Society

Acknowledgement