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* 1. Please provide name and contact information:

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* 2. What type of trip do you want to take?

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* 3. What are the dates of your trip (please indicate if flexible)?

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* 4. What budget do you have in mind?

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* 5. Pick between these accommodations:

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* 6. Who are you traveling with? 

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* 7. How would you define your travel taste?

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* 8. Are there any destinations you would not want to go to/would not be comfortable traveling to?

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* 9. Additional Information:

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