Tukuihotanga Kohikohinga

Collections Online

Gifting Items Proposal Form

Name *

Postal Address

Email *

Phone number

Please provide a brief description of the item(s) *

Images of item(s)

Are you the current owner of the item(s)?

Yes
No

Please state the owner's name

How are you connected to the owner?

Do the original owner(s) agree to donate the item(s) to Hokitika Museum?

Yes
No

Is there copyright on the item(s)?

Yes
No

Please state the copyright holder's name

Who made the item(s)?

What's the date of manufacture?

Is there any damage to the item(s)?

How are the item(s) related to the West Coast region?

Is there a story connected with the item(s)?

Please wait...

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