Artifact Donation Form

Submission of this form does not guarantee acceptance of the artifact(s) by the Brick Store Museum. Our Collections staff will review your proposal and contact you regarding their decision. All accepted donations to the Museum are tax deductible; however, the Museum cannot perform appraisal services for these items. Thank you for your active role in preserving our region's past!

First Name (required)

Last Name (required)

Email(required)

Phone


Mailing Address


Street (required)

City and State (required)

Zip Code (required)

Phone (required)


Description of Materials


What is it? (required)

(Please be as specific as possible, include names, dates, physical description and any other information you can see by examining the material)

What is its historical significance? (required)

(Who made it? Who did it belong to? How was it used?)

How big is it? (required)

(Please provide measured or estimated dimensions in H x W x D)

What is its condition? (required)

(Is it damaged? Is it stained?)

Are you donating this material or are you hoping to sell it? (required)

(Do you own this material?)


Submit a picture of the artifact (no larger than 2MB)

(If possible, please attach 1 or 2 images of the item(s) you hope to donate to the Museum. Images that capture key features or document the condition of the item(s) help the curatorial staff evaluate donation offers.)

Submit a picture of the artifact (no larger than 2MB)

I am currently a member of the Brick Store Museum.
 Yes No