Artifact Collection

To submit any artifact to be considered for donation to the Champaign Co Historical Society, we request that you complete and return the Collection Application and return it along with photos of the object to the museum by mail or in person to CCHS, 809 E. Lawn Ave., Urbana, OH 43078, or via email at champaigncohistory@gmail.com for review by our collections and exhibits committee.

Download Application

Or you may fill out our online Collection Donation Application and upload photos of the object on the form below.

Collection Donation Application

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Collection Information

If other, please explain

What, where and how was this item acquired?

Object Information

Who made it? When and where? For what purpose?

Approximate date range of the object.

What is the object's connection to Champaign Co.?

Condition of the object?

Additional Provenance (Ownership History) Information

Have there been other owners? If so, what is your relationship to the previous owners? Please include dates and locations if known along with any background information known.

Upload Photo of the Object

If needed, upload additional photos.

File upload

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