Imaginarium of Tears - Tear Collection Kit Activation

Tear Collection Kit Activation

Thank you for participating in the Imaginarium of Tears Project. By completing the activation form we can link your The Collection Kit with your unique genuine tear.

Once your genuine tear is received we will turn it into a unique work of art. Depending on your purchase we will provide you with the according artwork type.

Please follow the activation steps:
1.) Tear Collection Kit Identification
2.) Personal Information
3.) Tear information
4.) Contact information
5.) Summery & submitting
6.) Return Address Information!

Please be aware to check the return address information and if needed change it to our new address information:

Maurice Mikkers
Newtonstraat 296
2562KZ, The Hague
The Netherlands

Step 1:
Identification:

You can find your unique ID on ether the form or the reaction tube that came with the kit.

Unique Kit Number

Step 2:
Personal Information:

When displaying your tear as an artwork in our gallery we will use your first name, together with your age, and gender. Other provided information will only be kept for internal use.

First name

Last name

Date of birth

Please use dd/mm/yyyy

Nationality

Step 3:
Tear Information:

We ask you to provide us with some personal details and information about the unique genuine tear that was shed.

Tear type

More info on tear types: https://en.wikipedia.org/wiki/Tears

Tear Story

Every tear has its own unique story please tell us yours.

Date of tear capturing.

Please use dd/mm/yyyy

Where you alone?

Did you share your story and or moment?

Location

Where did you cry? e.g. at home.

Step 4:
Contact Information:

This information is only used for handling the artworks and communication between you and Imaginarium of Tears.

Street:

Street number

City

Zip Code

Country

Email Address

Please provide us with your email so we can keep in contact.

Phone Number

Extra:

Imagirarium of Tears apriciates your participation, to optimise your experiance we would like to ask you some extra questions.

How did you find out about Imaginarium of Tears?

What made you decide to participate in this art project?

Feedback, ideas or anything else you want to share with us? (How can we improve your experience?)

Step 5:
Summery:

Please check if all information is correct.

Step 6:

Return Address Information:

Please be aware to check the return address information and if needed change it to our new address information:

Maurice Mikkers
Newtonstraat 296
2562KZ, The Hague
The Netherlands

"I have checked and used the above mentioned return address"

"I have read and agree to website Terms and Conditions "

Activate your Tear Collection Kit.