Westfield Athenaeum Library
Donor Agreement Form
Please fill out this form, print it, and drop it off or mail it to:
WESTFIELD ATHENAEUM, 6 Elm St., Westfield, MA 01085
| Mr. Mrs. Ms. | |
| Name | |
Address |
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| Telephone | |
| Email (optional) | |
| Materials donated: | |
| By signing this form I make a gift of the items listed and described below to the Westfield Athenaeum, Westfield, Massachusetts. I agree to relieve all title to the objects being donated, including right to copyright. I have read and agree to the terms stipulated on this form. |
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| Donor Signature: | |
| Date: | |
| Donation accepted by: | Athenaeum Staff Person |
| Date: | |
The Donor assumes responsibility for obtaining an appraised value for the item(s) for tax purposes. The donation is irrevocable and is binding upon the heirs, legal representatives, assessors and assigns of the donor.
