CERTIFICATE OF GIFT

University Library
UNIVERSITY OF WISCONSIN-STOUT
 Menomonie, Wisconsin 54751

NAME OF DONOR:

ADDRESS:

 

 

DESCRIPTION OF GIFT:

 

 

 

 

 

COPYRIGHTS AND/OR LITERARY RIGHTS, IF APPLICABLE

 

 

As owner, I hereby donate the above to the University Library, University of Wisconsin-Stout with no restrictions on the future use or disposal of said items.

 

DONOR'S SIGNATURE:__________________________DATE:_________________

WITNESS SIGNATURE:_________________ DATE:_________________

Witness must not be related to donor nor employed by UW-Stout.

No temporary deposits accepted.

The UW-Stout University Library is not permitted to give value appraisals for tax purposes. Such appraisals should be obtained by recognized book trade dealers.