DEPOSIT AGREEMENT BETWEEN TYPE YOUR PROGRAM NAME HERE.

AND
NAME __________________________________________________________________ INSTITUTION ____________________________________________________________ ADDRESS ______________________________________________________________ CITY ___________________________ STATE ________ ZIP CODE __________ TELEPHONE NUMBER DESCRIPTION OF ITEMS ON DEPOSIT:

APPROXIMATE MONETARY VALUE OF ITEMS: INSURANCE WILL BE CARRIED BY: I own the materials described above and voluntarily agree to deposit them with the TYPE YOUR PROGRAM NAME HERE, with the intention of transferring title to said organization upon my death. At that time all rights, title and interest I possess in these materials will transfer and be assigned to said organization. No arrangement or preservation work may be performed on these materials without my written permission. The repository is responsible for all damages, accidental or otherwise, that occurs to the material while in its custody. A description of these materials may be added to the access records of the organization. Access to these records is permitted and unrestricted. The records may be reproduced with the supervision of the receiving repository. I agree to the above conditions of deposit and I am authorized to agree thereto: For the _________________________ Signature _______________________ Title ___________________________ Date ___________________________ For the _______________________________ Signature ______________________________ Title __________________________________ Date _________________________________