Digital Deed Form

Digital Deed of Gift to the Collins Regional Historical Society.

I own, or have legal authority over the materials described below:

…and voluntarily give the items to the Collins Regional Historical Society to make a digital copy of all materials.

I give consent to the Collins Regional Historical Society to digitally reformat the collection or migrate existing digital content to new technical environments as appropriate for preservation and/or access purposes.

As the owner of this item(s), I understand that the Collins Regional Historical Society will act in good faith to protect the item(s) while it is under their guardianship during digital reformatting, and will not hold the Collins Regional Historical Society liable for any inadvertent damage which may occur while in the custody of the society.

The Collins Regional Historical Society will return the item(s) within ______ days, whether or not digital reformatting has been completed.

Owner: (Print) ______________________________ (Date) _____________

Address: __________________________ Town: __________________________

State: _____________ Zip Code: ________________ Telephone: _____________

Signature of Owner: ___________________________________

Received by: _____________________________________ Date: ____________

Collins Regional Historical Society