CAMBODIA TRIP INTEREST REGISTRATION

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PLEASE FILL OUT THIS FORM IF YOU WOULD LIKE TO MORE DETAILS ON THE PLANNED CAMBODIAN TRIP

DECEMBER 29TH - JANUARY 5TH 2026

YOUR NAME *

YOUR EMAIL CONTACT INFORMATION *

PLEASE TELL ME A LITTLE ABOUT YOURSELF AND WHY YOU ARE INTERESTED IN THE TRIP *

PLEASE LET ME KNOW *

I'D LIKE TO BOOK A PLACE IF YOU GO AHEAD (AND AM WILLING TO MAKE THE $500 DEPOSIT)

I'D LIKE TO COME BUT CAN'T COMMIT AS YET

I'M INTERESTED IN HEARING MORE

DO YOU UNDERSTAND THAT THE TRIP IS A 10 DAY ALL INCLUSIVE EXPERIENCE BUT IT DOES NOT INCLUDE THE COSTS OF YOUR RETURN FLIGHTS, VISA OR INSURANCE? *

YES

WOULD YOU BE CONSIDERING SINGLE OCCUPANCY OR SHARED ACCOMODATION?

SINGLE ($2800)

SHARES ($2400)

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ANY OTHER QUESTIONS OR COMMENTS

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