GROUP VISIT REQUEST FORM

SECTION A - ABOUT YOUR GROUP

School/Group Name:
          
Address:    
         
City: State:  

Zip:
Group Leader:
         

Telephone:

E-mail address:

Fax number:  

School/Office Telephone:
Number in Group:   

Grade/Age:

Number of chaperones:

Amount of time group will be  able to spend at the museum:

Particular area of Interest:

SECTION B - REQUEST THE DATE AND TIME OF YOUR VISIT

We try to give all groups their first choice but it is not always possible. Requests for reservations are handled as they are received.

First choice:

Day:

Date:

Time you wish tour to begin: 	 
9:30 AM Tour ends at 11AM
11:30 AM Tour ends at 1:00 PM

Second choice:

Day:

Date:

Time you wish tour to begin: 
9:30 AM Tour ends at 11AM
11:30 AM Tour ends at 1:00 PM

Third choice:

Day:

Date:

Time you wish tour to begin: 
9:30 AM Tour ends at 11AM
11:30 AM Tour ends at 1:00 PM

Will students be allowed time in our gift shop?

If you wish to place an advance order for corn meal at $2.00 per 1 cup bag indicate the number of bags here:

 

Fax this completed form to (630) 920-9721 --or-- you may schedule your trip by calling the mill at (630) 655-2090 or (630) 920-9720.

You will receive written confirmation of your visit.