#Pixburgh Donation Form

(*) Required field

Your Information

* First name:

* Last name:

* Email address:

* Telephone number:



Item(s) Information

Please describe the materials you wish to donate.

Please describe anything you know about the history of the materials.

For example, you might explain who owned them and when or how they were used, or why they were produced. Please include which collection (saloons, Strip District, outdoor recreation, etc.) you're submitting to. Additionally, we are looking for material with a Western Pa. connection, so please include relevant information here.

Do you own the item(s)?

 Yes No

If you have an image or scan of your item, please attach it here. (Maximum file size: 2MB)