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TRAVEL SURVEY
RiceLamar World Travel
For
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WORLD CONGRESS OF PANAFRICANS
/ CONGRES MONDIAL DES PANAFRICAINS CONFERENCE
DAKAR, SENEGAL, DECEMBER 27 - 31 2007
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Welcome!
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| Name* |
FIRST NAME |
LAST NAME |
| Address* |
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CITY/VILLE |
STATE |
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COUNTRY
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CANADIAN
PROVINCE
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ZIP CODE
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HOME
PHONE OR CELLPHONE NUMBER
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EMAIL ADDRESS (if you have one)
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WHAT IS YOUR GENDER?
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Are you traveling with: Spouse/Companion
, Other,
? Specify the number of participants
in each group: Infants
, 2-12yrs , 13-17yrs , 18-24yrs , 25-50yrs
, 50+ yrs,
Due to the serious nature of the conference, youth, under the age
of 18 should not be in attendance during conference workshop events.
All conference participants are required to register.
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Do you need child caring services
during conference hours?
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If so, how much are you willing to
pay per day?
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Have you and other traveling companions,
18 yrs and older, completed the conference registration, including
paying all required deposits? Yes , No
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AIR TRAVEL:
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What is your preferred
date of departure to Dakar for the conference?
(Conference begins 8:30
am on December 26. Please indicate 1st and 2nd choices)
December 23rd , December 24th ,
, December 25th , , December 26th
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What is your preferred
return date from Dakar?
(Conference will end at
5 pm on December 31, 2007. Please indicate 1st and 2nd choices)
January 1 , January 2 ,
, January 3 or later; please give
date .
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MISCELLANEOUS:
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Diet! What foods are your restricted
from consuming (either due to religion, or health)?
(Make sure that content falls within
box)
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Would you like to take local tours while
your are attending the conference? Yes ,
No
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ACCOMMODATIONS:
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Would you be willing
to share accommodations with an individual outside of your traveling
party (singles may double your cost)?
Yes , No
If yes, with opposite sex: Yes , No, Doesn't matter .
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What type of bedding
arrangements do you need?
1 twin size bed.
1 Queen size bed.
2 twin size beds.
2 double/full size beds.
2 double/full plus 1 sofa bed or roll
away bed.
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Do you require
any special accommodations? Yes , No
If yes, please indicate your
need:
Wheelchair accessibility.
Sign language translator.
Material in large print.
Other, please explain
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Where do you prefer to stay (please rate choices
as 1st, 2nd, or 3rd choice)?
At the hotel where the conference is
being held even if cost is up to 50% more than the least expensive
option.
At the hotel where the conference is
being held even if the cost exceeds 50% more than the cost of the
least expensive option.
At a less expensive hotel that is within walking
distance of where the conference is being held.
At a less expensive hotel within a 30 minute
drive from where the conference is being held and transportation
is being provided (Only clean and secure accommodations will be recommended).
At a less expensive hotel within a 30
minute drive from where the conference is being held and you
will provide your transportation (Only clean and secure accommodations
will be recommended).
At a private home with a local family (You
must be responsible for transportation to the conference site).
Yes , No
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Please indicate
the importance of the following amenities by placing #1,
2, or 3.
#1 Necessary (willing to pay a little more to
have it)
#2
Not necessary but would like it if it does not cost
more.
#3 Not
interested!
Internet access on premises.
Internet access from the room.
Restaurant on premises.
A variety of restaurants on premises.
Eating places within walking distance
(1/4 mile).
Room Service - for ordering food to the
room.
Housekeeping - regular changing of linen
and towel provided.
Air Conditioned room.
Private Bath.
Gym/workout facilities on premises.
Access to public transportation other than
private cabs.
Phone in room.
Laundry facilities on premises.
Close to market place for fresh foods.
Refrigerator in room.
Microwave in room or easily accessible.
Kitchenette (stove, oven, refrigerator and
microwave).
Iron and ironing board in room.
How much do you expect to pay
per night for accommodations! $
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Multilingual?
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Indicate languages
that you speak, and understand:
English (Do you read and write in English?)
French (Do you read and write in French?)
Spanish (Do you read and write in Spanish?)
Portuguese (Do you read and write in
Portuguese?)
African Languages: please indicate which
language(s)
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What is your primary
reason for attending this conference?
(Make sure that content
falls within box)
Please
share any suggestions and or comments:
(Make sure
that content falls within box)
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