Research Object Inquiry

Name

First Last

Company or Institution Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reason for Inquiry (Check all that apply)

General Interest

Family Research

Scholarly Research

Loan Request

Film or media interest

Are you currently a member of the Chicago History Museum?

Yes

Describe object(s) of interest and information requested

Please include object name, accession number, maker, date, related subject and donor, if known

Would you like an in-person appointment to research objects?

If yes, a Museum staff member will contact you for more information or to set an appointment date.

Yes

If you are requesting an in-person appointment, please describe why in-person access is required to support your research and the means by which research results will be broadly disseminated

Research Object Inquiry

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