STUDENT'S NAME: _________________________________ E.MAIL ADDRESS: _________________________
PARENT'S NAME(S): ________________________________ E.MAIL ADDRESS: _________________________
DATES AVAILABLE FOR VISIT: (Ideally plan to arrive in New York on a Saturday in order to allow time for
trip briefing and travel to the first destination over the weekend): __________________________________
SCHOOLS TO BE VISITED: _________________________________________________________________
__________________________________________________________________________________________
WHO WILL ACCOMPANY STUDENT (IF ANY): __________________________________________________
LODGING REQUIREMENTS: Singles ______ Doubles ______ Smoking or Non-Smoking {circle one}
LODGING PRICE RANGE: Low ($80 – $110): ____ Medium ($115 – $190): ____ High ($200++)_______
Please advise if any hotel preference or club member (i.e. Marriott, Hyatt, Four Seasons, etc.), or if you
plan to stay with family/friends along the way.
CAR RENTAL REQUIRED: Yes _____ No _____ Company preference/Club # __________________
Size: Full-size ________________ Mid-size _________________
WILL YOU REQUIRE A DRIVER: Yes _____ No _____ Maybe _____
CREDIT CARD NUMBER/EXPIRATION DATE: ____________________________________________________
(Necessary to guarantee hotels, purchase airline tickets, etc.)
SPECIAL REQUIREMENTS AND/OR REQUESTS:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Please fax this completed questionnaire to 203-966-3832. We will prepare and fax a proposed itinerary for review. Once we receive approval, we will arrange for group information sessions, campus tours and personal interviews, where available, at each school; we will also finalize all lodging and domestic travel details. We would prefer at least four weeks notice to obtain appointments and arrange a worthwhile and efficient trip.
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