Tamworth Regional Museums Collections Donation Form

Thank you for your interest in donating to Tamworth Regional Museums collections. We wish to take this opportunity to inform you further about the process concerning donations.

For your convenience, you can view the Tamworth Regional Council Collection Policy (PDF 110.4KB) which outlines selection criteria, and we would ask that you take a few minutes to read the document. If you would like to proceed with the donation after reading about the Collection Policy, please complete the below sections, providing as much detail as possible and then hit submit.

The form will then be assigned to a relevant staff member with consideration of the materials for acquisition to be made at the first available meeting of the Acquisitions and De-accessions Committee.

The Collections staff will be available to answer any questions you may have regarding the process or the criteria for acquisition.

Thank you for your support of Tamworth Regional Museums and its collections.

Your Details

Donor Full Name*

Street Address/PO Box*

Suburb*

State*

Postcode*

Telephone Number - Home

Telephone Number - Mobile*

Donation Information

Select the relevant collection you wish to donate to*

I would like to donate*

Cash Donation

If you would like to donate cash to the Tamworth Powerstation Museum, please CLICK HERE

If you would like to donate cash to the Australian Country Music Hall of Fame, please CLICK HERE.

Item/s Description

These questions below are designed to act as a guide to prompt your memory regarding the item/s being offered to the Tamworth Regional Museums. This form allows the stories behind the item/s to be captured and an assessment of significance made. Do not worry if all the questions cannot be answered – some may not be relevant. Also, the questions can be answered in any order. Please complete a separate submission for each item unless they are similar.

Object Name

Date of Manufacture

Place of Manufacture

Manufacture's Name (e.g corporate/individual, occupation, age etc)

What are the items used in the item/s manufacture?

What was the primary use of the item/s?

Were the item/s used for other purposes?

How much did the item/s cost (new/second-hand)?

Has the item/s been modified?

Is there any damage to the item/s or are there parts missing?

Has the appearance of the item/s been modified?

How did you acquire the item/s?

Can you list any known owners and how they acquired the item/s?

Do you know any historical details about the item/s (people, places, stories)?

Please record any additional information:

Thank you for taking the time to complete this questionnaire. The story associated with an item gives it life.

Supporting Documentation

Please attach any photographs or supporting documentation of what you would like to donate

Legal Declaration

(Hereinafter called “the Donor”)

Hereby give to:

TAMWORTH REGIONAL MUSEUMS

(Hereinafter called “TRC Museums”,)

The goods and property described in the Schedule below and I, The Donor, do:

1. Warrant that I am the sole unencumbered owner of the goods and property in the Schedule, free from all claims.

2. Hereby give, covey, dispose and deliver unto the TRC Museums all my right title and interest in the goods and property in this schedule hereto including rights of copyright, if applicable, to the TRC Museums absolutely.

3. Declare this gift shall not determine upon my death and shall bind my Legal personal representatives.

4. Declare this gift shall ensure for the benefit of the TRC Museums, its successors and transferees in perpetuity.

Date*

Signature* - required

Please type your signature

Please sign here

Donor Full Name

Please tick to confirm Legal Declaration above*

Thank you for completing the document. If you have any questions about the process or your submission, please contact Tamworth Regional Council on 02 6767 5555

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).

Mandatory field(s) marked with *