theft report email

To report a theft to us please complete the form below and attach photographs of the Object or Objects to an E-mail. All these details will appear on this website, apart from your name and address or any other confidential information. You will be contacted for payment, depending on your chosen method below. PRICES

OBJECT DETAILS * = required PART A

Object Title: *
Period:
Date of Manufacture:
Artist/Maker:
Country of Origin:
Dimensions:*	specify metric / imperial
Description:
Object Comments:
Photo filenames
Click on browse to select the filename from your computer that you will send later via e-mail, or hard copy

THEFT DETAILS * = required PART B

Date Stolen:*

Theft County/Area:*

Theft Country:*

Crime Ref No:

Object ID No:

AUTHORITIES PART C

Reported To:

Title/Position:

Institution:

Police Station/Dept:

Address:

County/Area:

Country:

Phone No:

E-Mail:

YOUR DETAILS      * = required                                                                                   PART D

Prefix: * Other Prefix:

Your full Name: *

Your Address: *

County/Area: *

Country: *

Phone No: *

E-Mail address: *

Other comments:

Which best describes you? :

Please indicate your required display period

To attach photo/s, send a separate e-mail and attach photos from your computer, mailto:administrator@iasa-online.com including your name, the object titles and the photo filenames. Repeat this process for each item you would like archived. For a large number of objects, you may find it more convenient to attach a spreadsheet to an e-mail, using the above fieldnames as column headers to administrator@iasa-online.com. Apart from by e-mail, photos can also be sent as hard copy or on CD posted to - IASA-Online, The Stables, The Lamb Arcade, Wallingford, Oxon, OX10 0BS, UK.

PRICES:
			�30.00 per object per year. Contract users - prices on application

Preferred payment method ..

Please make cheques and Money Orders payable to Divasystem. Please allow seven working days for cheque clearance.

( For security reasons, you will be contacted directly by telephone for your credit card details. )
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Date Stolen:*
Theft County/Area:*
Theft Country:*
Crime Ref No:
Object ID No:

Reported To:
Title/Position:
Institution:
Police Station/Dept:
Address:
County/Area:
Country:
Phone No:
E-Mail:

Prefix: *		Other Prefix:
Your full Name: *
Your Address: *
County/Area: *
Country: *
Phone No: *
E-Mail address: *
Other comments:
Which best describes you? :
Please indicate your required display period