Virginia Sexual and Domestic Violence Action Alliance
Public Awareness Exhibit Request Form
Affiliate and Sexual & Domestic Violence Advocacy members of the Action Alliance may reserve Action Alliance public awareness exhibits to display in your community. To learn more about becoming a member, visit www.vsdvalliance.org.
The "Art of Surviving" and "Beating Hearts: Stories of Domestic Violence" exhibits require Action Alliance staff transport and/or set-up. For this reason, we ask you to contribute $100 to help defray costs for travel and materials.
By submitting this form, you are submitting a REQUEST only. An Action Alliance staff person will contact you to confirm whether or not the exhibit is available for the dates requested.
You will be asked to submit the $100 reservation fee online after confirming the exhibit dates.
Note: To borrow the SILENT WITNESS exhibit, contact the Action Alliance at 804.377.0335 or email@example.com. You do not need to complete this form to borrow the Silent Witness exhibit.
Is your organization a member of the Action Alliance?
(Exhibits may be borrowed only by member organizations)
Yes - SDVA member
Yes - Affiliate member
Which exhibit do you wish to reserve?
Art of Surviving
What date(s) do you wish to reserve the exhibit?
We ask that you reserve the Art of Surviving for at least a 1-month exhibit period; Beating Hearts for at least a 1-week exhibit period.
Please list first choice and second choice, if possible.
Please describe the exhibit venue and location.
For example: "Public library in Alexandria", "Conference for prosecutors in Charlottesville", "Student center on JMU campus", etc.
Anything else you would like us to consider?
Do Not Fill This Out