Name of group
Address:
Name of Contact: Email Address
Telephone:
Number in group (not to exceed 20):
Date of Visit: Time of Visit:
Group Leader:
Has a group from your University/College/Organisation has visited the Musuem on a previous occasion?
Yes , No .
Additional Information (ie. area of study or particular interest):
Please note that your booking is not definite until you have received confirmation either by email, telephone, fax or post.