* 1. Name of contact person

* 2. Title

* 3. Educational Institution

* 4. City

* 5. Phone

* 6. Email address

* 7. On which day(s) in October would you like to schedule your tour(s)?
*Please give more than one option.

* 8. What time of the day would you like to schedule your tour?

* 9. How many students will be touring?
*Please keep in mind most companies cannot take more that 20 students at a time. However if you have a larger group we may be able to make accommodations.

* 10. What is the age range of your students/youth group?

* 11. Would you like to go on more than one plant tour?

* 12. List the top three manufacturers in your area that you would like your students/youth group to tour. If you are unfamiliar with your local manufacturers, please let us know.

* 13. Please provide us with another representative from your educational institution/youth group that can be contacted regarding the tours. Please include emails and/or phone numbers.

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