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Secret Society of Internet Hobos

Artifact and Archive Donation Agreement

First Name

Surname

Postal Address

Telephone Number

Fax Number

The Secret Society of Internet Hobos gratefully acknowledges receipt of the following objects below:

Artifact Number: (to be filled out by SSoIH)

Archives Number: (to be filled out by SSoIH)
Description and Condition of Object(s) - Please provide a description of the Object(s) including their origin, history of use, and any other relevant information. Use the back of the form if you need additional space.

An unconditional donation. SSoIH reserves the right to keep, lend, or display objects.

Object is to be archived and not for public display.

 
I, the undersigned, being the lawful owner of the objects listed above, hereby transfer by gift/donation my full title to and interest in the same to the Secret Society of Internet Hobos archives forever. The Secret Society of Internet Hobos shall hereafter have and retain exclusive and absolute physical ownership of the object(s). Copyright is transferred to the Secret Society of Internet Hobos and moral rights to the object(s) are extinguished unless otherwise indicated. Object(s) may be placed, loaned, or archived in such a manner as the Secret Society of Internet Hobos may deem advisable in the best interest of the object and the Society. The Secret Society of Internet Hobos will display the object(s) if and when it deems feasible if indicated above.
   

Received From:

Received By:
___________________________________ ___________________________________
   

Date:___________________________

Date:___________________________