Name:_______________________________________________________________
Address:_____________________________________________________________
Telephone:___________________________________________________________
E-Mail address:_______________________________________________________
Date:________________________________________________________________
I am donating the items described below and on the attached list to the University Libraries at the University of Mississippi. I understand that the material described will be added to the Libraries’ collections, provided the individual items fall within the scope of the Libraries’ collection development policies. Otherwise, I agree that part or all of the material donated may be disposed of according to the judgment of the librarians. I also understand that the library does not provide appraisals for items donated
_____A list of the items that I would like to offer to the Libraries is attached. (A complete description is needed to help determine whether items are duplicates of titles that the Libraries already own.)
_____A summary of the types and quantities of the items offered:
- _____ carton(s) of material:
- _____ hardcover book(s)
- _____ softcover book(s)
- _____ issues of periodical(s)
- _____ sound recording(s)
- _____ video recording(s)
- _____ other (please specify)_________________________________________________
Remarks _____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature:_______________________________________________________________
Please mail the completed forms to: [Name of Subject Librarian] P. O. Box 1848, University, MS 38677 or Fax it to: (662) 915-5734
ITEM(S) THAT I WOULD LIKE TO DONATE TO THE LIBRARY
(Please print/copy as many forms as you need)
Name___________________________________________________________Date__________________
Item Title__________________________________________________________________________
Author or Editor________________________________________________________________________
Publisher, edition and publication date _________________________________________________
If a magazine or journal--volumes and issue numbers___________________________________________
Format (e.g., book, manuscript, video, Music CD, etc.)_________________________________________
General condition of the item (in good, usable condition; if a book--are spine and cover in good condition, pages all
there and text not underlined or marked, etc.)
Other information_______________________________________________________________________
Item Title__________________________________________________________________________
Author or Editor________________________________________________________________________
Publisher, edition and publication date __________________________________________________
If a magazine or journal--volumes and issue numbers___________________________________________
Format (e.g., book, manuscript, video, Music CD, etc)__________________________________________
General condition of the item (in good, usable condition; if a book-- are spine and cover in good condition, pages all there
______________________________________________________________________________________
Other information_______________________________________________________________________
Item Title__________________________________________________________________________
Author or Editor_________________________________________________________________________
Publisher, edition and publication date _____________________________________________________
If a magazine or journal--volumes and issue numbers___________________________________________
Format (e.g., book, manuscript, video, Music CD, etc.)________________________________________
General condition of the item (in good, usable condition; if a book--are spine and cover in good condition, pages all there
______________________________________________________________________________________
Other information_______________________________________________________________________


