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Grove City Area Historical Society
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If you would like to donate any items to the Historical Society, please print out and complete the form below or click here for the form in PDF format. Then, submit the form along with your donation to the Historical Society. |
The Grove City Area Historical Society has accepted with sincere gratitude and appreciation: ________________________________________________________________________________ (description of item) Received by:__________________________________ Title______________________________ (for Grove City Area Historical Society) I, the undersigned, hereby offer to the Grove City Area Historical Society, a private, non-profit organization located in the Borough of Grove City, Mercer County, Pennsylvania, as an unrestricted Gift the materials described above, to which I have clear title. I assign both physical and literary rights of the item(s) unless covered by prior copyright restrictions, to the Grove City Area Historical Society. This gift is made with no limiting conditions or restrictions and such materials may be exhibited, stored, loaned, maintained, reproduced or otherwise dealt with at the sole discretion of the Grove City Area Historical Society, including the ultimate disposition thereof. Date:__________________ Signed:_________________________________________________________________________ (Donor's signature) Donor's Name:___________________________________________________________________ Address:________________________________________________________________________ City:_________________________________________ State: ______ Zip Code ______________ Phone: (_____)_______________________ For internal use only Accession #: ________________________________ Date___________________ |