Research Request Form

"*" indicates required fields

Name*

First Last

Job Title

Institution

Is this institution a 501c3 non-profit?

Yes

Documentation may be required to demonstrate status.

Daytime phone number*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Artifact(s), specimen(s), or collection to be studied*

Brief description of project*

Please include the scope and how you intend to utilize the material you request.

The Witte Museum is closed due to inclement weather from 1 p.m. Saturday, January 24 through noon on Monday, January 26. We'll see you again soon!