Community Request Form

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Please use this form to request a Mobile Museum truck during your weekend community event. School residency requests should be made on the Mobile Museum page during open registration

To request NHMLA’s participation at your community event, please complete the form below. You will receive an email response within 4-6 weeks informing you of the status of your request.

Contact Information

First Name

Last Name

Title

Phone

Event Information

Event Name:

Name of hosting organization:

Event street address:

Event City:

Event Zipcode:

Event Date

Event Description:

Event Website

Event Start Time

Event End Time

Museum participation time (what length of time are you requesting the Museums participation?):

Who will the event serve?

What is the expected attendance?

Are there any confirmed exhibitors? If so, please list:

How would you like the Museum to participate?

Information Materials Only

Table/booth with people

Presentation/program

Mobile Museum (limited availability)

Other…

Parking location (Mobile Museum requests only):

The Mobile Museum trailer requires a level parking space that is 65ft x 20ft in width, with a 14ft vertical clearance. Describe the intended parking location for the trailer. Please note that the Mobile Museum has limited availability and a site check will be conducted in order to confirm the parking location is accessible for the Mobile Museum.

Existing relationship with the museum? If so, please explain:

Community Request Form

Contact Information

Event Information

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