August 2023 Great Culinary Travel Cambodia Trip

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This is a data collection survey. The data will be shared with Great Culinary Travels and their travel partners only. Information used will allow organizers to plan and coordinate transportation, address emergency situations and report the locations to the U.S. State Department if you are a U.S. Citizen.

You will be able to edit your responses so don't worry if things change or if you don't have all the info yet. I will be sending the invoice to this email address.

Email *

Do you agree that Urvashi can email you regarding this and other trips? *

Yes

Our trips require about 3-4 miles of walking, spread out through the day. Can you do this? If not, the trip may not be right for you. *

I can do this easily

I can do this but I may be a little slower than others

Deposit *

Yes

Column 2

I understand the deposit is nonrefundable

I understand there are two deposits, the first due immediately, and the second due Feb 25

Single or Double? *

Single

Double

Triple

If double or triple, with whom are you rooming? (Please fill out a separate form for them once you have your travel details) *

What is your full name as it appears on your passport? *

Your cell number (with no spaces, periods or dashes) *

What name do you use on Facebook? *

A copy of your responses will be emailed to the address you provided.

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