Donation – Item Form

Name
Contact Phone
Email
Donation Type *
What are you donating?
Item
Serial
Type / Model
Item Condition
*
What is the current condition of the item you would like to donate?
Donation or Loan?
*
Is the item going to become the property of MidsouthMakers or would you like to retain ownership? MidsouthMakers cannot be held responsible for items or materials on loan to us, items are the loaner’s responsibility
Item Loan Information/Requirements
Donation Usage Conditions

Are there any usage conditions to your donation?
Donation Type
*
Are there any conditions regarding this donation?

(Doesn’t Matter / Salvage / Specific Project / etc)

Item Value(s)
If the item donated/loaned becomes damaged, what would you like us to do?
If the item is donated/loaned to us for a specific or limited time, what would you like us to do at the end of that period?

*All items on loan unless otherwise communicated to AND agreed to by the board will be considered donations if not picked up within 4 weeks after initial notification.
Anything Else We Should Know?
Would you like a confirmation reciept emailed to you upon delivery of items?

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