Request for Museum Ambassadors Presentation

Group Information
Group contact's name*
First Last
Group contact's phone*
Group contact's email*
Group name
Please indicate the name of your group's business or professional association, social club, community or senior center, etc.
Address/location where presentation will take place
Street Address City State / Province / Region ZIP / Postal Code
Number of people in your group
Minimum 10
Additional group information
Please indicate any special requirements or any other information about your group that can help us to prepare.
Presentation Information
Please indicate two possible dates and times for the presentation; at least one month's advanced notice is requested.
Possible date 1*
MM slash DD slash YYYY
Possible time 1*

: Hours

Minutes

AM/PM
Possible date 2*
MM slash DD slash YYYY
Possible time 2*

: Hours

Minutes

AM/PM
Duration of presentation
Equipment provided
- Computer
- Projector
- Screen (or blank wall for projecting)
- Microphone/PA
Name
This field is for validation purposes and should be left unchanged.

Group Information