Donate an Artifact Form

Comments

This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone

Materials for donation:*

Describe what you would like to donate.

Approximate Measurements (length, width, height, weight, size, etc.)*

Approximate Date of Materials*

Rate the condition of the materials:*

Excellent (Like new, no wear or damage)

Good (Lightly used, minor signs of wear)

Fair (Heavily used, some noticeable damage)

Poor (Major damage or wear, requires conservation)

Very Poor (Completely unstable, broken, unrecognizable in current state)

How do these materials relate to the history of Seattle and the Puget Sound region?*

Does this item relate to any historically marginalized group?*

This could include (but is not limited to) People of Color, Indigenous People, members of the LGBTQ+ community, immigrants and refugees, people with disabilities, members of minority religious groups, and working class and low income people.

Who is the current owner of the materials and how were they acquired?*

Does the current owner intend to transfer full rights (literary, property, and copyright) with this donation?*

Yes

No

Additional Comments:

Please submit photos of the materials:

Drop files here or

Accepted file types: jpg, gif, png, jpeg, bmp, tif, tiff, Max. file size: 2 MB, Max. files: 5.

Donate an Artifact to MOHAI Collections