Digital Media Archive Submission

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
When was the photograph/video taken? Date and time.*
Where was the photograph/video taken? Be as specific as possible and include street names, identifying markers, or coordinates.*
What is the photograph/video of?*
Tell us the story behind the photograph/video. Why did you take this? What can it tell us about life during the pandemic?*
Please list the full names of the people in the photograph/video and their relation to you.*
Additional comments, memories, recollections, etc?
File
Max. file size: 64 MB.
Disclaimer*
I understand
By submitting this form, you are agreeing to donate the materials to the Lakeshore Museum Center (LMC). You certify that you are the legal owner or authorized agent of the legal owner of the items. It is understood that the purpose and intent of this gift is to transfer and assign all
rights, title, and interest in the items you possess to the LMC.

The Lakeshore Museum Center reserves the right to decline any submission. If the items are accepted by the LMC, they will become the exclusive and absolute property of the Museum. Donated items may be exhibited, loaned, retained, or disposed of according to the policies developed by the Board of Directors of the LMC.
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