Holocaust and Human Rights Education Center


Call Me Stefan: Panel Loan and Speaker Request
Please fill out this form with as much detail as possible. Fees: Public and Private Middle and High Schools Exhibit without Speaker: $100; Exhibit with Speaker: $200. All Other Venues-Exhibit without Speaker: $300. Exhibit with Speaker: $400. For more information, contact Steve Goldberg, Director of Education at sgoldberg@hhrecny.org
REQUESTOR'S CONTACT INFORMATION
Call Me Stefan: Panels to Loan y/n *
First Name *
Last Name *
Name of Organization *
Address 1 *
Address 2 *
City *
State/Province *
Zip *
Phone *
Email *
Date you need the panels *	// (mm/dd/yyyy)
Return Date *
This exhibit also comes with a speaker, Leah Sills. Please email Steve Goldberg at sgoldberg@hhrecny.org for more information.

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