Online Donation Form Donor InformationYour Name(Required) First Last Organization/Company (if applicable)Mailing Address Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Phone Number(Required)Email Address Donation InformationType of DonationMake/ManufacturerModelYear (if known)Serial Number (if applicable)Physical Condition: (Please describe current state – operational, partially functional, in need of repair, etc.)Brief Description and HistoryDo you have the owner's manual or maintenance records? Yes No Is the equipment currently in use? Yes No Donation DetailsIs this a full donation or a loan? Donation Loan Are there any conditions or restrictions related to this donation?Photographs and Documentation Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 2 MB, Max. files: 3. Please attach up to 3 recent or historic photographs of the equipment, owner’s manual, maintenance records, or any supporting documentation that may help us in the preservation and evaluation process.DeclarationI hereby certify that the information provided above is accurate to the best of my knowledge. I am the legal owner of the equipment or have the authority to donate it, and I agree to transfer ownership to the Muskoka Pioneer Power Association upon acceptance of the donation.Full Name(Required)Date(Required) MM slash DD slash YYYY Contact Muskoka Pioneer Power Association – Diane Kennedy [705-706-2216] or MPPACommunication@outlook.comWe greatly appreciate your generosity and commitment to preserving Muskoka’s Pioneer Power heritage! May 19, 2015, Director’s Meeting Moved by Don Coates and Seconded by Don Currie. Whereas the Muskoka Pioneer Power Association’s reason for existence is to preserve Muskoka’s historic items and way of life, and Whereas, unless donors have an agreement with the association to the contrary, we hereby confirm that all donations of any kind (monetary, work in kind, objects, equipment) are solely owned by the MPPA for its benefit. We note that the only exception, other than that noted, is that in the event of the MPPA ceasing to exist, it will endeavour to return property to donors or their family. Carried Δ
