GUIDED TOUR REQUEST FORM

Please print a copy and mail or fax: FAX (313) 974-6896 ATTN: Michelle Figurski

The Heidelberg Project, 42 Watson, Detroit, MI 48201

DATE____________

NAME OF SCHOOL/ORGANIZATION___________________________________________

ADDRESS_____________________________________________________________________

CITY_____________________ STATE___ ZIP_______ PHONE (___)__________________

CONTACT PERSON_____________________________ PHONE (___)___________________

DATE REQUESTED_____________________________

TIME REQUESTED ___10 AM ___11 AM ___1 PM ___2 PM ___OTHER

APPROXIMATE NUMBER OF INDIVIDUALS EXPECTED TO ATTEND______(limit 75)

SUGGESTED DONATION SCHEDULE (please check one)

____ $300.00 – Guided tour with narration, question & answer, brochures, tour guides, surveys, and Q&A with artist Tyree Guyton.

____ $200.00 – Guided tour without artist Q&A also available.

The Heidelberg Project is a Detroit-based community organization designed to improve lives and neighborhoods through art. We envision neighborhood residents using art to come together to rebuild the structure and fabric of under-resourced communities and to create a way of living that is economically viable, enriches lives, and welcomes all people. For more information, please contact Michelle Figurski, Executive Assistant, at (313) 974-6894, write to the above address, or e-mail information@heidelberg.org.

METHOD OF PAYMENT

____VISA ____MASTERCARD

NAME ON CARD____________________________________________________

BILLING ADDRESS__________________________________________________

CITY_____________________________ STATE____ ZIP________

CREDIT CARD # _________________________________ EXP. DATE_________

VERIFICATION CODE _________

AUTHORIZED SIGNATURE______________________________________

_______CHECK/MONEY ORDER ENCLOSED – PLEASE MAKE PAYABLE TO THE HEIDELBERG PROJECT