Request to Schedule a Bookmobile Visit

Name of your event *

What type of event? Please check all that apply *

Tell us a bit about your event. For example, is there any special theme? A special guest? *

Name of your organization *

Your organization's mailing address *

Your organization or event's contact person *

Contact method *

Email

Phone

Email address *

Phone number (with area code) *

Street address of your event *

Exact location at your address where you would like the Bookmobile to park *

NOTE: The Bookmobiles are very large vehicles, 40-45' in length, and will need adequate space for parking and turnaround. Do you foresee any problems? *

No

Yes

Staff must be able to enter and exit safely through the rear of the trailer. The public must be able to enter and exit safely through doors located on the passenger side of the trailer.

If yes, please explain: *

Date you would like the Bookmobile to visit *

Month

Day

Year

What time does your event start?

Hour

:

Minute

am

pm

What time does your event end?

Hour

:

Minute

am

pm

What time would you like the Bookmobile to arrive? *

Hour

:

Minute

am

pm

What is the total number of people you expect to visit the Bookmobile?

If visitors will be boarding in organized groups (such as classes), how many groups do you expect?

How many people in each group?

How long will each group's visit last?

Is there anything further you would like to tell us about your organization or event, or any questions that you would like to ask us about the Bookmobile?

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