Donor Survey

Objects offered to the Science History Institute’s museum collections will be considered by the collections committee per the museum’s collections management policy. We do not accept unsolicited items shipped to or dropped off at the Institute.

Not all accepted objects are placed on public exhibit, but all will be preserved for future generations and may be used for reasons other than display purposes, including (but not limited to) research, educational programs, publications, and loans to other museums.

Upon review, the collections committee may decide that the items should be considered by our other departments for items that more closely relate to the library, archival, or oral history collections.

Note that you will be responsible for shipping costs to the Science History Institute for all the objects you would like to donate.

Name*

First NameLast Name

Company (if applicable)

Address*

Street Address

Street Address Line 2

CityState/Province

Postal/Zip CodeCountry

Phone Number*

Please enter a valid phone number.

Alternate Phone Number

Please enter a valid phone number.

Email*

Confirmation Email

Are you the legal owner of the item(s) being offered?*

YesNo

Who owns the item(s)?*

Description of Item(s)*

Please describe the objects in detail you want to donate. Be specific and include color, material, physical characteristics, date, dimensions, weight, and condition of each item. For condition, please describe any chips, missing parts, tears, stains, or other damage to the object.

Provenance*

Write what you know about the items: where/when/why/how the items were acquired and used; previous owners’ names; relationship between owners; and most importantly, any personal stories about the items.

Where are the item(s) located?*