**TOUR REQUEST FORM\
**Fax To: (202) 228-1265 \-- Attention: Tour Coordinator

  ------------------------------------------------------------------------------------------
  First Name : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Last Name : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Address : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  City : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  State : \_\_\_\_\_\_\_

  Zip Code : \_\_\_\_\_\_\_\_\_\_\_

  Home Phone : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Work Phone : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Cell Phone : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Phone in Washington DC area (optional) : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  E-mail Address :
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
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**\
**Please place a check on the tour(s) you are interested in. For more
information regarding tours in Washington D.C., please go to
<http://brownback.senate.gov/FKTours.htm>.

-   Library of Congress (M-F)

-   Supreme Court (M-F, 9:30 am -- 3:30 pm public tours)

-   U.S. Capitol (M-F, 10 am and 2 pm)

-   White House (Tues--Sat, between 7:30 am and 11:30 am)

Date(s) Available for Tours:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Please provide the number of adults \_\_\_\_\_\_ and children
\_\_\_\_\_\_ in your group for the Tour.

**For White House Tour Only:**

+-----------------------------------------------------------------------+
| If you are interested in the White House tour, we will need specific  |
| information for each individual attending. Please submit the          |
| following information for each person in the space provided below:    |
+-----------------------------------------------------------------------+
| 1.  Legal Name (as seen on official photo ID)                         |
|                                                                       |
| 2.  Date of Birth                                                     |
|                                                                       |
| 3.  Country of Birth                                                  |
|                                                                       |
| 4.  Are you a U.S. Citizen?                                           |
|                                                                       |
| 5.  Do you require any accommodations? (wheel chair, Braille, ASL     |
|     interpreter, etc.)                                                |
|                                                                       |
| 6.  Social Security Number                                            |
+-----------------------------------------------------------------------+
| There can be no changes or substitutions once information has been    |
| passed along to the White House. This information will be held in     |
| strict confidence and only passed along to the White House (U.S.      |
| Secret Service) for background security clearance. In order to        |
| process your requests, you must submit this information a minimum of  |
| **3 months in advance**.                                              |
+-----------------------------------------------------------------------+

> If you have any additional questions or comments, you may list them
> below well. Use another blank sheet of paper if necessary.

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To see a map of the Capitol and the Congressional Office Buildings go to
<http://www.aoc.gov/visit/cc_map_entrances.htm>.