Please enable JavaScript in your browser to complete this form.Name *FirstLastCompanyEmail *Phone *Item Name / Model *Dimensions and Weight *Approximate Value if knownWill this item be suitable for a table top? *YesNoApproximate Year Used *What was it used for? Please include detailed information which will be used alongside the exhibit to inform visitors. *Does it still work? Could it be used for a live demo? *Any Health and Safety risks? Eg. Moving parts, live contacts *Any further information of interest or note? *Please upload an image of the item * Click or drag files to this area to upload. You can upload up to 10 files. Submit