JOHNS HOPKINS

Gifts-in-Kind Receipt Form

I  (please sign here),

____________________________________________________________________

Own the items described below. I desire to give the described property to The Johns Hopkins University. I understand that the Sheridan Libraries retain the right to add to the collections or to dispose of materials as it judges appropriate.

Date: ________________________________________________________________________

Notes for the Library:

(Office Use Only)

Name and Address of Donor: ____________________________________________________________

_____________________________________________________________________________________

Telephone number: ____________________________________________________________________

Name of pick-up contact (if different from donor): ___________________________________________

Date and time of pick-up: _______________________________________________________________

Boxes to be delivered to: _______________________________________________________________

Special Delivery Instructions: ____________________________________________________________

_____________________________________________________________________________________

(Office Use Only)

Number of boxes/containers picked up:

Type, Amount, and Condition of Material:

_____ Hardbacks (Comments):

_____ Paperbacks (Comments):

_____ A/V Material (Comments):

_____ Papers/Maps (Comments):

_____ Artifacts (Comments):

Subject Fields/Highlights of Gift:

Sent to Library Development:

Date: ___________________________