Table of Contents

VHS Large Donation Form

This is a sample form of possible information needed when VHS is given large donations.

Description:

Name/Address:

Value:

Serial Number:

Make/Model:

Type of donation:

Long Term Loan conditions:

Term of Loan:

How long with the item be at VHS?

Maintenance Cost:

who is responsible for maintenance costs?

Maintenance work:

who is responsible for doing the work?

Damage:

Is VHS responsible for the repair costs of any damage that occurs?

Restrictions:

eg. “All people who wish to use this tool must be trained by me:

eg. “No one under the age of 16 may use this tool”

Donor Signature:

Director Signature:

Director Signature:

Date:

Serial Number:

Make/Model: