SCHEDULE A PROGRAM FOR YOUR SCHOOL

Where Do You Want to Schedule the Tour/Presentation? *

At HMTC Facility

At Your School or Facility

Name of Contact Person *

First Name

Last Name

Phone Number *

(###)

###

####

Additional Phone Number

(###)

###

####

Preferred Date of Program *

MM

DD

YYYY

Secondary Date of Program

MM

DD

YYYY

Tertiary Date of Program

MM

DD

YYYY

What is the Earliest You Can Arrive? *

Hour

Minute

Second

AM PM

What is the Latest You Can Leave? *

Hour

Minute

Second

AM PM

Has your group been here before? *

No, this is our first time

Yes, our group has been at HMTC before

Checkbox

I understand that there is a requested donation associated with this program.