Then and Now Written Memory Donation

Written Memory Donation

Thank you for your interest in this written memory project! Participation in entirely voluntary. You may withdraw your form at any time before, but not after, submission. By checking the participation box below, you acknowledge that you are 18 years of age or older and reside or have previously resided in Washington County (Utah), Kane County (Utah), the Arizona Strip, and/or the Big Muddy region of Nevada.
In what region is this location?

Donation Agreement

I hereby donate the material(s) entered above as an unrestricted and irrevocable gift and permanently convey, assign, and transfer all rights, title, and interest, including all physical and intellectual property rights, to Utah Tech University for use in the Special Collections and Archives, Utah Tech University Library. The rights transferred to Utah Tech include the rights to publish, use commercially, exhibit, display, create derivative works, distribute, reproduce, license, publish digital surrogates online, adapt to future technologies, or otherwise use and dispose of these donated materials. Utah Tech University appreciates your donations and accepts them in compliance with Utah Tech Special Collections & Archives and Library polices. Please note, not all donated materials are added to the collection. Special Collections & Archives will dispose of donated materials according to Special Collections & Archives and Library collection guidelines. If any review team member becomes aware of actual or probable child or elder abuse, substance abuse, or suicidal behavior submitted in this form, they are obligated to report the information to proper authorities.*