Education Visit Request Please request visits 14 business days in advance. Any visits outside this time frame cannot be guaranteed. Name(Required) First Last Phone(Required)Email(Required) Billing Address(Required) School Address City State / Province / Region ZIP / Postal Code Organization Name(Required) Event Date (First Choice)(Required) MM slash DD slash YYYY Start Time (First Choice)(Required) Hours : Minutes AM PM AM/PM Include time for setupEnd Time (First Choice)(Required) Hours : Minutes AM PM AM/PM Include time for break downEvent Date (Second Choice)(Required) MM slash DD slash YYYY This date must be different from your first date chosen.Start Time (Second Choice)(Required) Hours : Minutes AM PM AM/PM Include time for setupEnd Time (Second Choice)(Required) Hours : Minutes AM PM AM/PM Include time for break downEvent Location Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Number of anticipated attendees(Required) Do you want the speaker to participate via live stream or in-person?(Required) In-person Live Stream Hybrid What topic(s) would you like the Museum Educator to speak about?(Required)Please choose the category that best fits your organization(Required) School / Non-profit - $75 for 1 hour ($50 every additional hour) Business / For Profit - $125 for 1 hour ($100 every additional hour) Any other details or requests you'd like to make?Payment & Cancellation(Required) By checking this box you agree and understand the followingPayment will be processed only by invoice | Museum staff will provide the invoice | Invoice must be paid in full prior to event or the day of | Notice of cancellation must be provided a minimum of 24 hours' in advance.
