PUBLIC MONUMENTS AND SCULPTURE ASSOCIATION
Save our Sculpture campaign

RESPONSE FORM - printable version

Please print out this form and fill in the details requested, or email this form directly, by copying the contents of this form into the email provided, and typing in details. Send copies to:
1. The PMSA
2. The organisation responsible for the upkeep of the monument/sculpture
3. Parish / Borough Council
4. Local Authority Conservation Officer
5. English Heritage Regional Office

This sculpture / monument may be at risk:

Title (or brief description)
Address / location
General condition
Specific concern

Further action taken (please tick as applicable):

Completed copy of Response form sent to my local authority Conservation / Planning Officer  *
Yes                  No
Completed copy of Response form sent to my English Heritage Regional Office   *
Yes                  No
Completed copy of Response form retained for future reference
Yes                  No

* For details see the SOS links page
Your details:
Title - Mr / Mrs / Ms / Miss / other
Name:
Address (including postcode)
Telephone number:                                     email:
  Please tick to receive further details about the PMSA. . . . . . . .
Please tick if you do not wish to receive further communication from the PMSA . . . . . . . .
Please tick if you do not wish to be contacted by other reputable charities and organisations . . . . . . . . 		 
Once complete, please send this form to:
PMSA - SOS campaign,
c/o Courtauld Institute of Art,
Somerset House,
London WC2R 0RN