SUSD Director Retreat Travel Survey-Durham, NC

Please provide your food restrictions and travel information for the upcoming SUSD Director Retreat. By completing this survey you are allowing TNC to share your information with other members attending. This information will only be used for planning, emergency purposes and for opportunities to collaborate on transportation to and from the airport.

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* 1. Contact Information

First Name

Last Name

Mobile Phone Number

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* 2. I am traveling to North Carolina by....

Automobile

Airplane

I live in North Carolina

Comment

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* 3. Departure from Home State (Auto):

Date

Departure State

Anticipated Time Arriving in North Carolina

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* 4. Departure from Home State (Air):

Date

Airline

Departure Location

Flight Number

Departure Time

Time Arriving in North Carolina

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* 5. Departure from North Carolina:

Date

Airline (if applicable)

Flight Number (if applicable)

Departure Time

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* 6. Do you have any dietary restrictions/special requests?

Yes

If yes, please list here.