University of Maryland
General Gift Transmittal Form
Gifts are accepted with the understanding that they become the property of the University of Maryland upon receipt, and that the UM Libraries will make all necessary decisions as to their retention, location, cataloging treatment, and other considerations relating to their use and disposition. It is the responsibility of collection managers to review donations and make selection decisions based on the UM Libraries’ collection development policy.
Name of Librarian Selector:
*
First
Last
Give name of your department and/or collection you are reporting on this gift.
Humanities
Architecture
Art Library
Architecture Library
STEM Library
Library Media Services
MS Performing Arts Library: SCPA
MS Performing Arts Library: General Collection
MS Performing Arts Library: Dance
MS Performing Arts Library: Drama
Labor History and Workplace Studies
Literature & Rare Books
Mass Media & Culture
Prange Collection
State of Maryland & Historical Manuscripts
Terrapin Learning Commons
University of Maryland Archives
Your Phone Number
*
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Your Email
*
DONOR INFORMATION
A description of the section goes here.
Donor Name
*
First
Last
Contact Name
First
Last
(If not donor)
Donor Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR China
Republic of North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Phone Number
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University affiliation, if any
Faculty
Alumni
Other
Maximum of
250
characters.
Currently Used:
0
characters.
Donor wishes...
to give anonymously
to not be called
to not receive email
to not receive mail
to not be contacted
to receive communication
to not be solicited
Please describe how you received gift:
Anonymous and/or dropped off (no communication available)
Email Correspondence
Dropped off and Contact Information Provided
INFORMATION ABOUT THE GIFT
A description of the section goes here.
Gift becomes property of University Libraries on
MM
/
DD
/
YYYY
Received by
First
Last
Description of gift (please list any book titles)
Approximate fair market value
$
Dollars
.
Cents
Documentation to justify valuation of $5,000.00 or more
COUNT OF GIFT
Give number of donated items
Audio cassette(s)
Book(s)
DVD(s)
Journal(s)
Maps
Microfiche/ films
Phonorecords (LPs)
Score(s)
Video cassette(s)
Other
Please specify
ACKNOWLEDGEMENTS
Check here if you have sent a personal acknowledgment.
Yes
Please send a copy of the letter or email .
I certify that the items described in this form were received on the date shown below and are in ownership of the University of Maryland College Park.
First
Last
Name of selector/curator
Date
MM
/
DD
/
YYYY
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