Gift Agreement Form Gift Agreement Form First Name Last Name Address Phone Number Email Address Description of item Dimensions Weight (lb.) Age Has the item ever been appraised YesNo Value ($ Dollar) Attach Photograph Of Item Provenance Contract Terms - Click the checkbox below to agree. No commitment is made by the Shelby County Historical Society as to the exhibition or placement of the item. No guarantee is made by the Shelby County Historical Society that the gift will be retained in perpetuity. Digital Consent - Click the checkbox below to agree. I agree to conduct business electronically and confirm that I have the authority to enter into this agreement. I consent to use an electronic or digital signature in place of a handwritten signature. I understand that my electronic signature is legally binding and has the same validity and enforce ability as a handwritten signature, in accordance with applicable laws. Signature:
