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The date you are interested in travelling *

Number of days * <Select> 1 2 3 4 5 6 or more

Area you are interested in * <Select> Etaples Le Mans Normandy Rouen area

Approx. number of pupils *

What activities would you be interested in?
(use ctrl to select multiple) Visit to a French primary school Market/supermarket Town trail Bakery WW2 museum Nausicaa Chocolate factory Bee and honey factory Snail farm Agincourt Sweet/lollipop factory Sandsailing Kitemaking and flying Other

Other activities (please specify)

What is your maximum budget per head? * <Select> �100 �101-�150 �151-�200 �201-�250 �251-�300 �301-�350 �351-�400 �401-�450 �451 or above

Title

Firstname *

Surname *

Position / Job Title

School Name *

School Address1 *

School Address2

School Address3

School Town/City *

School Postcode *

Phone Number *

Mobile Phone Number

Email Address *

Best time to call you:

Between: * <Select> 09:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:00 and * <Select> 09:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:00

Best day to call you: * <Select> Monday Tuesday Wednesday Thursday Friday Any

or <Select> Monday Tuesday Wednesday Thursday Friday Any

or <Select> Monday Tuesday Wednesday Thursday Friday Any

PLEASE TICK HERE IF YOU ARE INTERESTED IN A FAMILIARISATION VISIT

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