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CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Name
First
Last
Email
Please enter the email address where you can be contacted about this survey. The UWRA does not share emails with third parties.
UWRA Affiliation
Please choose ONE option.
Member
You hold an annual, complimentary or lifetime UWRA membership.
UW Retiree
You retired from employment at UW.
CURAC Member
You are a member of a CURAC affiliated Retiree Association.
Other…
Enter other…
Number of persons potentially travelling?
Please enter the total number of persons that may be travelling on this trip?
Interested?
To help us plan, please choose ONE option and please elaborate in the comment box, if applicable.
Yes, I am definitely interested
Tell me more!
Yes, I might be interested.
I need a lot more information.
Thanks but NO.
Not for me.
Comment
Can you elaborate on your choice?
Please let us know why you chose this option?
How long a stay would you like?
Select all that are acceptable.
One week
Two weeks
Three weeks
10 days
Other…
Enter other…
Must haves.
Describe your “must haves” for this kind of trip. Don’t be shy. We’ll do our best to accommodate.
Other desinations
Please enter destinations that we should consider instead of Portugal or Spain.
Leave this field blank