Corporate / Community Travel Museum Request

Please complete this form to request a Traveling Museum display. Once submitted, someone from the African American Museum of Southern New Jersey will contact you.

    Your Name (required)

    Your Email (required)

    Your Daytime Phone Number (required)

    Your Organization's Name (required)

    Address (required)


    City, State, Zip Code (required)

    Your Preferred Date

    Estimated Attendance

    Exhibit Location

    Additional Information