Potential Donation Form

If you have reviewed our frequently asked question s and determined your item qualifies for review, please fill out the following form.

After submitting the form, please send photographs of the object(s) being offered and any other supplemental information you may have to: Andrew Talkov, Sr. Director of Curatorial Affairs, Virginia Museum of History & Culture, P. O. Box 7311, Richmond, VA 23221 or by email to atalkov@virginiahistory.org.

Name

Email

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Name and description of object/item(s) being offered

Object/item dimensions, if applicable:

How many items are in the collection, if applicable?

Estimated date the object was made or used:

What is its relation to Virginia?

How did it come into your possession?

Additional notes:

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