Attendees Survey

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* 1. Are you interested in the next UIU Igboland Tour targeted during Fall 2021?

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* 2. First Name

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* 3. Last Name

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* 4. Date of Birth

Date

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* 5. Student or Professional (at this present time)

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* 6. Place of Origin - Where are you from? (State in Nigeria or Otherwise)

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* 7. City, State (Current Residence)

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* 8. Email Address

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* 9. Phone Number (Cell)

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* 10. To reserve your spot, can we contact your directly via phone?

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* 11. Have you ever visited Nigeria?

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