Curious Child's Library Wanderings

Name of Institution

Address

Phone Number

Deed of Gift Agreement

I, ____________________________________, residing at (street, city, state, zip, phone number)

________________________________________________________________________________________________________________________________________________

own and desire to give, or am empowered as legal agent for

________________________________________________________________________

to give the (Name of Institution) the following described property (attach extra sheet if necessary):

I assign and convey irrevocably the legal title and all literary rights or copyright which I may have to the described to the (Name of Institution).  I agree that the (Name of Institution) may use the material as it deems most beneficial.  I understand that the (Name of Institution) may digitize this material for access via the World Wide Web or for other forms of electronic distribution.  Furthermore, I agree that researchers who meet the requirements set by the (Name of Institution) may have full access to this collection with the exception of restriction(s) or conditions stated below:

None:_________  Specify:_________________________________________________________________________________________________________________________________________

Any item not retained by the (Name of Institution) shall be (donor to select):

Discarded:_____________  Returned to donor:__________ Other: __________________

In full accord with the provisions of this deed of gift, I hereunto set my hand.

Donor’s Signature__________________________________________ Date___________

Receipt of the above material is gratefully acknowledged on behalf of the (Name of Institution).

Archivist_________________________________________________ Date___________