Traveling Trunk Reservation Form

(This form and payment are required to process all requests)

Please reserve the Lending Trunk:

Please reserve the Trouped Trunk:

_________________________________

______________________________

During the week of ________________ or______________.

During the month of ________________________________.

Enclosed is a payment of $5 per trunk.

Enclosed is a payment of $5 per presentation.

Please print clearly and complete all information.

Teacher  _____________________________________
School    _____________________________________
Email      ______________________________________

Grade       ____________________________
Class Size ____________________________

School Address

Street _____________________________________ City___________________________ State ______________ Zip_________

 

School Phone _______________________
Home Phone ________________________
Best Time to Call ____________________

 

For Trouped Trunks, # of Presentations at $5 each ______________
Amount Enclosed ____________

Checks should be made payable to Greensboro Historical Museum

130 Summit Ave. Greensboro, NC 27401-3016 www.greensborohisotry.org

 

Your canceled check will serve as your receipt. If you would like more than one trunk, please copy this form.