The completed form may be mailed or faxed to:
Collections Committee
Fort Devens Museum, Inc.
94 Jackson Road, Suite 305, Devens, MA 01434

Fax 978-772-9807
DONATION INFORMATION FORM
Please use a separate form for each item.

Your Name _______________________________________________________

Address _________________________________________________________

________________________________________________________________

Telephone ________________________ Fax ___________________________

Email ____________________________

1. Describe the item you are willing to donate.

2. How does this item relate to one of the Museum's five themes?

3. Do you have the provenance (background information) on this item?

For Museum use only:
rev. 8/2002

The Fort Devens Museum is a 501(c)(3) organization.