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* 1. What is the name of your group?

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* 2. What is the nature of your group?

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* 3. Number of participants (a minimum of 10 is required for a private tour)

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* 4. Contact name

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* 5. Contact email

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* 6. Contact phone number

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* 7. Preferred dates for tour, in order of preference (please list three alternatives)

Date
Date
Date

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* 8. Preferred time for tour

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* 9. General level of mobility of participants

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* 10. Preferred tour format

T