To reserve a Traveling Trunk for your classroom, complete this form at least one month before the Trunk will be used. Contact Information Name First Name Last Name Cell phone Email Address Name of School Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Reservation Information Trunk Title Built for Comfort: The Manship House Mississippi River Walter Anderson (Elementary School) Walter Anderson (High School) Requested Dates of Reservation Beginning Date End Date (3-week period) Note: Your reservation will be confirmed within 2–3 business days. To reserve a Traveling Trunk for your classroom, complete this form at least one month before the Trunk will be used. Grade of Class Number of Students Number of Teachers Method of Delivery Pick up from MDAH, 200 North State Street, Jackson, MS 39201 Shipping Trunks must be shipped back via FedEx, USPS, or UPS and insured for $500, or teachers may choose to transport the trunks to and from MDAH themselves. Leave this field blank