Please print and include with the Pan Am Item(s) Donation and mail to address listed below. Thank you kindly! 

PAN AM MUSEUM FOUNDATION
Attn: Director of Curation,  One Davis Avenue,  Garden City, NY 11530

Donor First Name:___________________________________
Last Name:___________________________________________

Street Address:____________________________________________________________________________________

City:________________________________  State:_____________________________  
​Zip Code:_________________

Phone:________________________________  Email:____________________________________________________


Please list only one item per line unless gifting multiple of same item. For identical multiples please indicate quantity at beginning [i.e. (3) London baggage tags or (6) wine glasses].


Object:                                        Description:                                             (Assigned by Museum) Accession #


1)_______________________________________________________________________________
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6)_______________________________________________________________________________
7)_______________________________________________________________________________
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for more than ten items please print an additional sheet(s) and complete accordingly


THE PAN AM MUSEUM FOUNDATION THANKS YOU FOR YOUR KIND DONATION AND ALLOWING US TO RECEIVE YOUR ITEM(S)


Conditions:  I hereby irrevocably and unconditionally give, transfer and assign to The Pan Am Museum Foundation, all right, title and interests, including all copyright and related interests, in, to and associated with the object(s) described above.  I affirm that I own said object(s) and that to the best of my knowledge, I have good and complete right, title and interests, including all copyright related interests, to give.


I understand that all objects accepted into the Pan Am Museum Foundation collection become the exclusive and absolute property of the Pan Am Museum Foundation and may be displayed, stored, loaned, retained or disposed of in the best interests of the Foundation.  I understand that gifts to the Pan Am Museum Foundation may be deductible from taxable income in accordance with the provisions of the Federal Income Tax Law.  I further understand that obtaining appraisal values is my responsibility and that the Pan Am Museum Foundation can neither give appraisals nor pay for them.


Signatures:  I understand and accept the condition of gift described above.


Donor'sSignature:______________________________________________________Date:_______________


Pan Am Museum Foundation hereby acknowledges acceptance of the gift(s) described above.


Signature:_______________________         Title: Director of Collections                Date:________________


Please include any personal story, how the item was obtained, Pan Am employee name & title, or any other information about the item(s) you’d like the museum to know.