Travelling Edukits reservation form

Thank you for your interest in the Museums’ travelling educational products.

Please note: reservations are made on a first-come, first-served basis. We will contact you shortly after receiving this application to confirm your reservation dates and to send you a Loan Agreement, which must be signed and returned to us. We will then send you the requested product(s).

Borrower's Contact Information

Name and title

School / Organization name

Address

City

Province

Postal Code

Telephone

E-mail

Shipping Information (if different from above)

Contact Person at Shipping / Receiving

Civic Address

Shipping / Receiving Telephone Number

Shipping and receiving hours

Estimated number of users

Youth

Adults

Classes

Product Information

Name of Travelling Educational Product: Selection 1

Period Required (dd/mm/yy to dd/mm/yy) for Selection 1

Name of Travelling Educational Product: Selection 2

Period Required (dd/mm/yy to dd/mm/yy) for Selection 2

* Note: minimum borrowing period is one month. Please reserve early to avoid disappointment.

Langue

Borrower's Contact Information

Shipping Information (if different from above)

Estimated number of users

Product Information

Visit

Ingenium

Support

For Media