First Name
*
Last Name
*
Institution
*
Department
*
Email
*
Phone
*
Faculty or Study Abroad Office?
*
Faculty
Study Abroad Office Staff
Course Name
*
Location
*
Dates
*
Types of Excursions
*
City Tours
Business Visits
Top tourist attractions
Cultural activities and visits
Number of Students
*
4–8
8–12
Number of Faculty Members
*
Accommodation Preference
*
Hotel
Apartment
Dorm
Meals Included
*
Yes
No
Which Meals?
*
Breakfast
Lunch
Dinner
Program Price Range
*
$500–$1000
$1000–$1500
$1500–$2000
$2000–$2500
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Do you need lecture space?
*
Yes
No
How many hours of lecture space do you need?
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