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| Her Majesty Queen Margrethe II of Denmark, Protector |
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| The Danish Immigrant Museum 2212 Washington Street P.O. Box 470 Elk Horn, Iowa 51531-0470 712.764.7001 © Since 1983; All Rights Reserved |
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| Family History & Genealogy Center DONATION FORM Print and complete this form; mail with approved* items to: The Danish Immigrant Museum Family History & Genealogy Center (FHGC) Artifacts 4210 Main Street P.O. Box 249 Elk Horn, Iowa 51531-0249 * Please inquire before sending materials related to the FHGC. Telephone 712.764.7008 or Fax 712.764.7010 __________________________________________________________________ Date: __________________ Your Name: _______________________________________________________________ Mailing Address: _________________________________________________ City: _______________________________ State: _________ ZIP: _________ Phone: _______________________________ E.Mail: __________________________ List of approved items, artifacts, titles and such to be donated: 1. _________________________________________________________________ 2. _________________________________________________________________ 3. _________________________________________________________________ 4. _________________________________________________________________ 5. _________________________________________________________________ (Continue listing items on the back of form, when needed.) __________________________________________________________________ Collections Policy: Please inquire before sending materials. Contact Librarian Manager, Michele McNabb for donations related to the Family History & Genealogy Center - Telephone 712.764.7008 or Fax 712.764.7010. Complete this form for inclusion of accepted materials. The Danish Immigrant Museum and the FHGC welcome approved donations of artifacts, historical and genealogical materials related to Denmark, Danish immigrants, immigration, and Danish-American institutions. Before making any donations, please contact the Museum or the FHGC. All donations become the property of the Museum and their subsequent disposition will be determined by the staff in conformance with the Collections Policy. Materials which do not fit collection guidelines or which duplicate materials already in the collections will not be added; attempts may be made to find appropriate homes for such material. The above material is donated with the understanding that the aforesaid donation policy will apply. (Signed) _________________________________________ (Date) _____________ __________________________________________________________________ For Office Use Only: Acc. # __________________ Date _________ Initials: ___________ Ack: ______ Library: _____ V.F.: ______ Dup: _____ Other: __________________ |
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