Guided tour request form

To schedule a guided tour of Against the Odds: Making a Difference in Global Health., please provide as much information as possible. You may submit this form online; or print and send your completed form via fax to 301-402-0872 or via mail to Attn: Exhibition Outreach Coordinator, National Library of Medicine, Bldg. 38/Rm. 1E-21, 8600 Rockville Pike, Bethesda, MD 20894.

^* Required Field

Name: ^*

Telephone: ^*

Email: ^*

Address1:

Address2:

Group or school name:        Number of participants:  

Possible visit date(s) and time(s)

Preferred date and time: ^*

   

Alternate date and time:

   

Alternate date and time:

   

Mode of Transportation (please check one)

Personal automobile

Schoolbus

Commercial bus

Public transportation

Please provide any additional information that would help us to make your visit more comfortable and successful:

Copyright, Privacy, Accessibility
U.S. National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894
National Institutes of Health, Health & Human Services
Freedom of Information Act