Cultural Collection Donation Expression of Interest Form Contact detailsFirst name: Last name: Email: Phone number: Donation detailsPlease select the type of material you would like to donate: Please select...Archaeological find ArtworkFountainHeritage furniture Interpretive works Memorial Plaque Sculpture (indoor)Sculpture (outdoor)Other If other please describeIs this a gift or donation to be made under the Cultural Gifts Program administered by the Australian Tax Office? YesNoDonation descriptionName/Title of item: Short description of item: Item created by: Date of item: Quantity: Estimated value of object:How many valuations has the item received? Dimensions in mm (height x length x depth x width x diameter). Please include framed/mounted measurements if relevant (materials, make/model & manufacturer):Artist/maker/manufacturer detailsCountry Clan: Region: Language: Exhibition history (if relevant)Date: Location Exhibition Name: Similar works in other Australian Collections: Maintenance will normally be payable by the donor of the item, for the duration of its lifetime. Maintenance may be payable by the Gardens in certain circumstances, for example, if the item is required for the operations of the Gardens.Please indicate who will fund the maintenance:Proposer/DonorArtist Botanic Gardens of SydneyOther If other please specify