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2. 150th Anniversary Time Capsule Donation Form

   2023 marks the Sesquicentennial (150th) Anniversary of the City of Bentonville. 

   We are collecting items to include in the 150^th Anniversary Time Capsule that will be closed up later this year and reopened in 50 years on the 200^th Anniversary.

   Review the guidelines below. If you have an item you believe belongs in this time capsule, submit your item below!

   Submitted items should be representative of Bentonville today. Historical images/items will not be included. Selected items will be based on size and relevancy to the project. Not every item submitted will be included in the time capsule. 

   We will notify those selected in late August 2023 and host the ceremony in September 2023. 

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Requirements

    Below are some criteria we are using to ensure all items are survivable to 50 years and will not harm other items within the capsule: 

    • Avoid anything acidic or that has acidic properties
    • Avoid anything that can degrade or has glue or other sticky substances (i.e. stickers)
    • Avoid anything with a liquid or organic component
    • Avoid any technology – it may not work in 50 years!
    • Print photos on high-quality papers or materials
    • Use pencils to label and write
    • Space is limited, so large items will not be allowed. Most paper contributions will be ok, but any items will need to be small. For instance, we will include a coin from the 150^th celebrations.
18. Does your item meet these requirements? *
    -- Select One --YesNo
20. Describe your item below. *
22. Upload an image of your item below. *
23. Do we have permission to keep your item once received? *
    -- Select One --YesNo
25. If there is anything else about this item you would like to tell us, leave your comment below.
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field