UKRAINE SIG DONOR AGREEMENT

This Agreement is between JewishGen, Inc., a Texas non-profit corporation ("JewishGen"), and _______________________________________, the Donor of the following material to the Ukraine SIG.

TYPE OR TITLE OF THE Donated Material: __________________________________________________________.

1.  Donated Material

A. I understand that JewishGen, Inc. will only be able to accept the material for publication on its server when the appropriate JewishGen Project Manager confirms that all of the necessary procedures, as JewishGen may require, have been followed. Check if the following is applicable:

____ This project is a "work in progress" and from time to time material may be added. This  additional material will be donated to JewishGen under the same conditions as set forth below in Section 2.

B. Donor certifies that Donor has all rights necessary to donate the material  to JewishGen as detailed in Section 2 below. Donor agrees to take full responsibility for damages to or costs incurred by JewishGen if anyone ever makes a  claim of ownership of the material donated to JewishGen.

2. General Requirements

In conjunction with this agreement and for no additional consideration, the Donor hereby grants to JewishGen a non-exclusive perpetual right to use, publish or distribute the donated material. This right gives JewishGen no rights to the underlying data or information and JewishGen shall in no way amend of modify such data or information. The non-exclusivity of such right means that the Donor retains all rights to such data or information and may use, publish or distribute such data or information in any way the Donor chooses. This right may not be revoked after the date of this agreement.

DONOR:

Please complete the Donor portion; sign and date two copies; attach any additional forms as instructed by project manager or program coordinators; include a stamped self addressed envelope for return of the executed copy for your records, and mail to:

JewishGen, Inc.
Museum of Jewish Heritage
36 Battery Place
New York, NY 10280
FAX: (646) 437-4328

When all documentation has been received, JewishGen, Inc. will execute and return a signed copy for your tax records.

DONOR Name (print or type): _________________________________

DONOR Signature:_________________________________ Date: _______________

DONOR Address: ______________________________________________________

______________________________________________________

______________________________________________________
(City, State/Province, Postal Code, Country)

Phone: ________________________ Email: _____________________________

JGFF Researcher Code #: ____________

JEWISHGEN, INC.

JewishGen, Inc. wishes to thank you for your JewishGen-erosity in donating this valuable material to the programs and projects we provide. Please consult your tax advisor for a determination of whether this donation constitutes a tax deductible donation to JewishGen, Inc. a 501(c)(3) Texas corporation. Your donation has enabled us to take one more step forward towards our mission...

"preserving our history for future generations"

_________________________________    Date:________________
Warren Blatt, Managing Director

Copyright ©2000 JewishGen, Inc. All Rights Reserved.