Traveling Trunk Subsidy Application – Eckley Miners' Village Museum

Organization/Company *

Contact Name *

Email Address *Please be sure to double-check email addresses for accuracy as status notifications will be delivered via email.

Phone *

Street Address *Please provide the location where you would like the program to take place.

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

County *

Is your organization a non-profit? *

Proposed Date of Program *

Arrival Time *

Hours

Minutes

Number of Participants *The traveling trunk program is more suited to smaller groups of 30 or less. We don't recommend for auditorium programs.

Requesting Subsidy? *We have a grant that allows us to provide limited subsidies to cover the cost of the traveling trunk program.

Yes.