Birmingham Holocaust Education Center Request for Exhibit Form

Alabama Holocaust Survivors Through Photography and Art

* Requests will only be approved upon completion of a facility report *

Contact Information

*REQUIRED FIELDS
Name of Borrowing Institution*
Address*
City*
State*
Zip Code*
Name and Title of Contact*
Phone*
FAX
Email*
Web Site (if applicable)

Preferred Dates for Presentation of the Exhibit
(Please indicate start and finish dates)

We are interested in borrowing

The entire Darkness into Life exhibit.

Only a portion of the Darkness into Life exhibit.
Please indicate:

The Courage to Remember Exhibit.