Donation Interest Form

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Donation Interest Form 2016-07-15T15:24:01+00:00

If you are interested in donating something to the Gay Ohio History Initiative collection please fill out this interest form and a curator will contact you for more information.

 

 

NAME:_______________________________________________________________________

 

ADDRESS:________________________________________________________________________

 

PHONE:___________________________________________________________________________

 

E-MAIL:____________________________________________________________________________

 

 

 

BRIEF DESCRIPTION OF MATERIAL: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

SIGNIFICANCE TO OHIO’S LGBT HISTORY: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

TOPIC (i.e. Pride, family life, advocacy, leisure, etc.): _____________________________________________________________________________________

 

 

ESTIMATED AMOUNT (i.e. 10 photographs, 3 shoeboxes, etc.): _________________________________

 

 

ESTIMATED DATES OF MATERIAL: ________________________________________________________

 

Mail To:

Ohio History Connection

Attn: Eric Feingold

800 E 17th Ave

Columbus, OH 43211

 

Email a copy of this form to: gohi@ohiohistory.org