1. What is it? (e.g. photograph, video, object, letter, diary, artwork etc.) *
2. What does it look like? (e.g. describe the appearance of an object or the subject of a photograph etc.) *
3. Where was it taken, made or produced? (be as specific as possible e.g. town, postcode) *
4. When was it taken, written, made or produced? *
5. Why is it important? (e.g. significance to you, your family, work / reason you have collected it) *
6. Do you have a memory attached to the photograph or object? (write about it here) *
9. If anyone is visible and identifiable in the photograph, please provide their name and confirm you have their permission to photograph them. *
11. By checking this box, I agree to transfer absolute ownership of the attached photograph/s to the museum’s governing body. *
13. Signature (by printing your name below, you are confirming that the information provided in this form is correct). *