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Organization name

Person requesting quotation

email

Group Title

Program Start Date

Program End Date

Number of Students

Number by Brackets 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-79 80-89 90-99 100-119 120-150 151-200 201-300 301-500

Number of Chaperones

Age of Students

Homestay placement Single Double

Homestay dates same as program dates

Homestay start date

Homestay end date

Meals 3/day 2/day

Transfer to and from school by public transport by host family driving

Homestay required for chaperones No Yes

School Integration Full Day Half Day

Integration start date

Number of integration days

Campus Experience - ratio of visitors to local university students 10:1 5:1

Campus Experience - hours 1.5 2.0 2.5 3.0 4.0 5.0 6.0

Campus Experience date

Other information and special requests