Breman Museum Course Registration

tour request form

To request a tour, please completely fill out and submit the form below. Your tour should not be considered to have been booked until you receive confirmation from The Breman (probably from Judi Ayal).

For more information, please call the Breman Information Line at 678-222-3700, contact Judi at jayal@thebreman.org, or download the 2006 Educator Program Guide.

School/Group Name:

Address:

Add. cont.:

City:

ST:

zip

Is this a

Work Address or Home Address?

County:

Name of Contact:

e-mail:

Work Ph:

Home Ph:

Cell Ph:

Fax:

Number in Group:

Age/Grade

Is this your first visit to The Breman? yes no

Special Needs? yes no

Please indicate below the tour you wish to schedule. If you are interested in more than one tour, please submit this form once for each tour requested.

Volunteer Museum Educator-Guided Tours

Self-Guided Tours

Date Requested
Please check blackout dates on this website before choosing your preferred dates. Please give us three dates and times when you would like to come for your tour and we will make every effort to accommodate you.

1st Choice: day date: time:

2nd Choice: day date: time:

3rd Choice: day date: time:

Transportation

Please check your mode of transportation and indicate the number of vehicles for which you require partking.

Bus

Van

Private Car

Mass Transit

Other

Special info about your group or other comments:

Student/Senior Group Admission Fees: $4 per student/senior; $5 per adult. Teachers, bus drivers and one chaperone per ten students free.

Adult Group Admission Fees: $5 per adult.

Non-refundable booking fee: $25.
Dates will not be confirmed until the booking fee is paid.

To pay by credit card through our secure on-line system, click on the "donate" link on the page that loads after you submit this form. Thanks!

Will Pay On-Line (click on the link on the page that loads after you submit this form)

Will Send a check to The Breman, 1440 Spring St. NW,
Atlanta, GA 30309 with a copy of this form.

I am a member of The Breman.

Please send Breman Museum membership information.

1440 Spring St. @ 18th St.
in midtown Atlanta
(678) 222-3700

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