After this request form is completed and returned we will contact you to confirm your Virtual Field Trip.
Street 1: Required
Phone Number: Required
If you respond and have not already registered, you will receive periodic updates and communications from Simon Wiesenthal Center.
The fee for the Virtual Field Trips is $250.00 per module for a class of 25-30. The Combat Hate program is $300.00 per module for a class of 25-30.
Payment can be made by check, Visa, Mastercard, and American Express.
Limited grant funds are available, please contact us for details
This form is only to request a Virtual Field Trip and is not a confirmation of your program.
We will send you confirmation materials upon review of your application. If you do not hear from us please contact email@example.com to confirm that your application was submitted.
For additional information and questions please call (310) 772-7639 or e-mail firstname.lastname@example.org.