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* 1. GEM Contact Info

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* 2. Are you interested in traveling with Girls En Motion in 2017?

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* 3. I am interested in attending a yoga/meditation retreat with GEMS (repeat to Arkansas: Hot Springs/Hebron)

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* 4. I would be interested in becoming an Asst Organizer for GEMS for 2017. Duties may include: Researching best travel deals, planning excursions, negotiating contracts for hotel/excursions, etc.

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* 5. I would be interested in hosting a trip(s) for GEMS. Duties include: Acting as the trip host when GEM Founder is unable to attend the vacation. Trip will still be planned/organized by GEM Founder.

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* 6. I am interested in the following types of trips:

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* 7. Domestic Trip Options: I would be interested in the following (options w/two options will be paired):

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* 8. International Trip Options: I would be interested in the following (*Budget under $1500 pp):

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* 9. Additional trip options/suggestions for 2017/2018:

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