Old State House Museum
Education Department
Adult Group Tour Reservation Form

Contact Name: _______________________________________________

Group Name: _______________________________________________

Street Address: ______________________________________________

City: ______________________ State: _____ Zip Code: ___________

Daytime phone: __________________ Nighttime phone:________________

Fax Number: ____________________ E-mail: ______________________

No. in Group: ____


Please choose from the tour options below:

__ Dispelling the Myths

__ Grand Survey

__ Footsteps & Foundations



Living History: __ Check here if you want a living history character on your tour.


Group Profile: Please identify any special needs your group might have so we can better prepare for your visit.

Special Education: ____________________________________________________

Physical Disabilities: ___________________________________________________

Other: ________________________________________________________


Requested Dates:

1st Choice

Day/Date of visit: __________________	Arrival Time:_____________
	Departure Time:__________

2nd Choice

Day/Date of visit: __________________	Arrival Time:_____________
	Departure Time:__________

Qustions? Call the Old State House Museum Education Department at (501) 324-9685.

MAIL completed reservation forms to:
     Old State House Museum
     ATTN: Education Department/Tour Coordinator
     300 West Markham
     Little Rock, AR 72201

FAX completed reservation forms to:
     Old State House Museum
     ATTN: Education Department/Tour Coordinator
     (501) 324-9688