Wellesley Township Heritage and Historical Society
Donor Form
Date: Accession Number:
Donor:
Address:
Telephone:
E-mail:
Description
I am the rightful owner or agent of the rightful owner of the object(s) listed above. I transfer, give, assign and deliver all rights, title and interest for the item(s) described above to the Wellesley Township Heritage and Historical Society (WTHHS) as an unrestricted gift.
Donor’s Signature: ________________________________ Date:___________________
WTHHS Signature :_______________________________ Date :___________________
Donor:
Address:
Telephone:
E-mail:
Description
I am the rightful owner or agent of the rightful owner of the object(s) listed above. I transfer, give, assign and deliver all rights, title and interest for the item(s) described above to the Wellesley Township Heritage and Historical Society (WTHHS) as an unrestricted gift.
Donor’s Signature: ________________________________ Date:___________________
WTHHS Signature :_______________________________ Date :___________________