SCHEDULE A TOUR
Please provide the following contact information:

Name ________________________________________________

Title ________________________________________________

Organization/School ___________________________________

Address:____________________________________________

City:_____________________ State:____ Zip:_________ - _______

Work Phone:____________________ Fax:_________________

E-Mail:___________________________________

URL:_____________________________________


Please Read our Visitors Guide.

Once you have read our guide and agree to the conditions as outlined, please continue to complete this form. Any special requests or requirements reference the guide, please include them in the comments section of this form.

PRICING
$6.00 for adults
$5.00 for students

Please consider joining our school membership program.

We may be able to accommodate your group during our off hours. Please indicate your needs in the comment section.

PLEASE NOTE: We can NOT accomodate more than 50-75 middle school students at a time. There needs to be approximately 1 chaperone for every 10 students. If chaperones are not sufficiently supervising students, that group will be asked to leave. The students are the CHAPERONES' AND SCHOOL'S responsibility at all times.

Please provide the following information:

______ Number of students in group
______ Number of teachers in group
______ Number of military veterans in group
______ Number of Vietnam Veterans in group
______ TOTAL GROUP


SPECIFICATIONS
____________ Date Requested for Presentation/Tour
____________ Museum Arrival Time
____________ Type of Class, i.e. History, Literature?
____________ Speaker requested Y/N?
While it is very rare, sometimes we are unable to secure speakers for visits. We will do our best to inform you if this is the case. We apologize for any problems this may cause.
____________ If speaker, when do you want the presentation
Beginning/middle/end of tour?
____________ Payment method?
____________ I have read the NVVAM Visitors Guide Y/N?
____________ Enter Today's Date (mm/dd/yy)

Please provide us information as to how you heard about us and any additional comments.





____________ Would you or your school be interested in receiving information on our school membership program Y/N?

____________ Would you like to be included on our mailing list Y/N?


Please print out and mail to:
National Vietnam Veterans Art Museum
1801 S. Indiana Avenue Chicago, IL 60616

Or Fax to: 312-326-9767


For further information please contact the Museum at 312-326-0270
Thank you for your support.