Remember to please send your items to:
1026 Cherry Street
Norristown, PA 19401

If you have any questions or concerns please contact:
Rev. Michelle Simmons
whynotprosper@aol.com
610-716-1113

Question Title

* 1. Name

Question Title

* 2. Address

Question Title

* 3. Phone Number

Question Title

* 4. Email

Question Title

* 5. hereafter referred to as the "Owner(s)" of the property described below, hereby gives, transfers, assigns, and delivers all of the Owner(s)' right, title, and interest in and to the property described below to the Formerly Incarcerated Renaissance (F.I.R.M) Museum as an unrestricted gift. I (we) have good and complete right, title, and interests (including all transferred copyright, trademark, and related interests) to give.

Question Title

* 6. Description of property/items and its significance

Question Title

* 7. How would you like the items to be recognized if on display?
Gift of ____________________________

Question Title

* 8. I/we agree that any property described above and found inappropriate to the penitentiary collections will be removed at the discretion of the Formerly Incarcerated Renaissance Museum (F.I.R.M) according to established procedures.

Signature of Owner(s) and Date:

T