Missouri 2021 Bicentennial Time Capsule Form
Submissions should include three items: one representing your past, one representing your present, and a note to future Missourians about hopes for the future. NO DIGITAL CONTENT. Only physical items will be accepted. Complete, print, and mail this form along with your submission to: The State Historical Society of Missouri, Attn: Time Capsule, 605 Elm Street, Columbia, MO 65201.
Organization
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Organization Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
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Contact
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First Name
Last Name
Contact Email
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Contact Phone Number
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-
Area Code
Phone Number
Description of Submissions
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The organization or institution noted above understands and agrees that the submission will not be returned.
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Agree
The organization or institution noted above understands and agrees that the submission may be added to the State Historical Society of Missouri collections for archival and promotional use in accordance with its policies.
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Agree
Submit
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