Outgoing Loan Questionnaire

Name of Organization / Institution
A value is required.*

Name / Title of Authorized Official to sign Loan Agreement
A value is required.*

Mailing Address A value is required.*

City A value is required.*

State A value is required.*

Zip A value is required.Invalid format.*

Telephone A value is required.*

Phone Number

Email A value is required.Invalid format.*

OBJECTS:

What kinds of objects are you interested in borrowing? *
A value is required.

Do you know of specific objects in our collections and their museum accession numbers? *

PURPOSE:

Describe the purpose of the loan. Why are the objects being requested? *
A value is required.

How long of time period do you wish to borrow the objects? *
A value is required.

If for exhibit purposes, how will the borrowed objects be interpreted? * (Describe labels and include samples of text if possible.)
A value is required.

If for research / testing purposes, please explain testing techniques, security, potential destruction of materials, etc. *
A value is required.

DISPLAY AREA (Loans for exhibit purposes):

Describe the area where the borrowed objects will be displayed. * A value is required.

What types of cases, barrier systems, etc. will be used for protection of the borrowed objects? *
A value is required.

What type of lighting will be used in the display area and cases? * A value is required.

What mounting techniques will be used, if any, to display the borrowed objects? * A value is required.

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Your information is for SHSND purposes only and will never be sold to anyone for any reason.