Loan Agreement Form Loan 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 Lent for the following purpose Length of loan period: Contract Terms - Click the checkbox below to agree. Items of historical interest may be lent to the Shelby County Historical Society for a special exhibit. Loaned items may be photographed or reproduced by Shelby County Historical Society for education, catalog and/or publicity purposes. Unless notified in writing the Shelby County Historical Society will only release the item to the lender. Upon expiration of the loan period, the lender has ten (10) days to retrieve the item, unless other arrangements have been made in writing. Should the item remain in the possession of the Shelby County Historical Society for more than thirty (30) days from the expiration of the loan period, the Shelby County Historical Society will consider the item abandoned and will take possession of it. 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:
