Object donation form - The Icon Museum and Study Center

Please enable JavaScript in your browser to complete this form.

Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Object Description

Object Condition

Object Association

Please provide information on people, dates, previous owners, or events associated with the object. Is there any history of this object being published or exhibited?

Ownership

Are you the sole owner of the object, and do you have full power and authority to transfer it to the Icon Museum and Study Center? How long have you owned this object and how did it come into your possession? If purchased, do you have a bill of sale, certificate, or any related paperwork?

Images

Click or drag a file to this area to upload.

Object Donation