Application Form

Applicant Information

Name and Address of Museum (include telephone number)

Name of Applicant Authority

Place at which the purchase will be displayed

Contact Name and Telephone Number

Contact Email Address (this will be used for all future correspondence)

Item(s) to be purchased

Description of Item, including the condition and provenance of the artefact(s)

Age of Artefact(s)

Artefact(s) size

Has the item been declared treasure?
Yes
No

Financial Information

Price (excluding VAT) - please use numeric characters only in this answer
£
Have you been offered a grant by the V&A Purchase Grant Fund?
Yes
No

Amount awarded by V&A Purchase Grant Fund - please use numeric characters only in this answer
£
Other funding if yet secured, eg. local, nationally-organised source

Other Information

The following Information needs to be emailed to headley-archaeology@sfct.org.uk. Please include the name of the artefact(s) in the email subject heading:

Acquisition statement (Please send a full validation of the acquisition, including the significance of the particular item in a regional and national context. Please include a thumbnail sketch of the museum’s history, collections, etc.)
Annual Report and Accounts of Museum
2 sets of good quality photographs of the artefact(s) - must be in .jpg format.

If information is too bulky to email, you may post it to: The Headley Museums Archaeological Acquisition Fund, Allington House (First Floor), 150 Victoria Street, London SW1E 5AE.

Technical queries can be emailed to the webmaster.

I agree that I have read and understood the Terms and Conditions of this scheme.

I Agree