Accession #__________________
Armstrong Atlantic State University
Lane Library
Special Collections & Archives
Donor:
hereby donates copies of the materials described below to Armstrong Atlantic State University,
Dated this_____ day of________.
Description of Donation:
Donor (Sign) ______________________________________
Address:__________________________________________
__________________________________________________
Do you wish to remain anonymous? Yes
No
List conditions or special restrictions:
Armstrong Atlantic State University hereby accepts the above records.
Dated this day of
:
By_________________________
Armstrong Atlantic State University Representative