1. About You

Name
Address
City
State
Zip
Phone

2. About Your Object

Title (what you call it)
Maker (if human-made and known)
Date of Object (approximate, if known)
What is it made of?
Dimensions
Credit Line (how you would like to be cited)

3. Tell your Story (in 100 words or less)

4. Image of your object

I will email an image to fleming@uvm.edu
I will mail an image to Fleming Museum, 61 Colchester Ave., Burlington, VT 05405
I will drop off an image at the Museum
I will fax an image to 802-656-2090

customer satisfaction surveys