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: __________________________________________________________.
____ 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.
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.
2951 Marina Bay Dr., Suite 130-472
League City, TX 77573
FAX (281) 535-2204
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:________________ Susan E. King, President
Copyright ©2000 JewishGen, Inc. All Rights Reserved.