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First name: *

Last name: *

Position:

Name of school/group/organization: *

Email address: *

Telephone: *

Fax:

Address: *

Postal code: *

City: *

Province/Territory: *

If other, please specify:

What is the nearest major airport?:

Language of preference for communication with RVC: *

English

French

Option 1

Destination:

Length of Stay:

Preferred Travel Start Date:

Option 2

Destination:

Length of Stay:

Preferred Travel Start Date:

Option 3

Destination:

Length of Stay:

Preferred Travel Start Date:

If destination is Other

Please specify:

Preferred type of accommodation: *

youth hostel

standard hotel

luxury hotel

If you selected hotel accommodation, do you want chaperones to:

share accommodation (max. 2 people to a room)

be 1 person per room

Preferred language for your guides and activities: *

English only

French only

Bilingual

Approximate number of youth participants: *

Approximate number of accompanying adults: *

Age of participants: *

Is this a second language trip?: *

Yes

No

If yes, please indicate the participants' level of French:

French Immersion

English Immersion

Core French

Core English

Budget (per person):

Have you previously travelled with the RVC program:

Yes

No

How did you hear about the RVC program?: *

From a colleague who took a group on an exchange

From a link from another web site

From a phone call I received from RVC

From a booth at a conference I attended

From a presentation at a conference I attended

From a web search

From an e-mail ad

From an ad in a publication

Previously participated in a tour

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Rendez-Vous Canada Educational Programs - a division of UNIGLOBE Premiere Travel Planners Inc.
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