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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: *
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
Commercial bus
Public transportation
Please provide any additional information that would help us to make your visit more comfortable and successful: