Museum in a Box - Booking Form
Boxes are available for loan periods of three weeks. Museum in a Box® can be borrowed by any educational institution within NSW.
| Details | Client Details |
|---|---|
| Requested by: | |
| School/Centre: | |
| Full street address: | |
| Postcode: | |
| Phone: | |
| Fax: |
Boxes requested
| Term 1 | Weeks 7, 8, 9 | |
|---|---|---|
| 1st choice | ||
| 2nd choice | ||
| 3rd choice |
| Term 2 | Weeks 1, 2,3 | Weeks 7, 8, 9 |
|---|---|---|
| 1st choice | ||
| 2nd choice | ||
| 3rd choice |
| Term 3 | Weeks 1, 2, 3 | Weeks 7, 8, 9 |
|---|---|---|
| 1st choice | ||
| 2nd choice | ||
| 3rd choice |
| Term 4 | Weeks 1, 2, 3 | Weeks 7, 8, 9 |
|---|---|---|
| 1st choice | ||
| 2nd choice | ||
| 3rd choice |
Please print and fax to - 02 9320 6072
Karen Player
, Manager Museum Outreach
Last Updated: