Please Tell Us about Your Group
Thank you for your interest in working with Exploritas on future educational travel programs for your organization’s members. In working with many other organizations in the past, we’ve found that there are certain things which help make these programs a success for your organization.

Please read about these

before completing this questionnaire.

To better help us in developing a proposal for your charter, please give us a little information about your organization and about your interests in future travel programs. This information will help us respond to your inquiry more quickly, and with more specific information that will be helpful to your planning. Please answer all questions.

1. Please tell us your organization’s name and mailing address. Organization Name Current Mailing Address  city Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated Micronesia Guam Marshall Islands Mariana Islands Northern Mariana Pacific Trust Territories Palau Puerto Rico Alberta British Columbia Manitoba New Brunswick New Foundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Yukon state zipcode 2. Who should we contact with questions and information? Individual's Name Telephone Number  Email Address 3. Please tell us about your organization. It is helpful to know about your organization’s mission and about the geographic scope of your current activities. 4. Do you have a website? (please tell us your website’s Internet address) 5. If you’ve not already done so, please take a minute and review our current programs that might be of interest to you. Your can search for specific programs on our websites: www.Exploritas.org and www.roadscholar.org. For charter programs, we will arrange a special date(s) for your organization so you don’t need to be concerned about finding a specific date in our catalogs. Please tell us the program number(s) for programs in which you have an interest. (please list one or more program numbers) If you listed more than one program number above, please tell us which one program is of most interest to you now. (please list one program number) 6. Please tell us approximately how many participants from your organization you would expect to attend this charter program. Between 10 and 20 people Between 20 and 30 people Between 30 and 50 people More than 50 people 7. Please tell us approximately how many members you have in total that would be included in your marketing for this charter program.    Number of members 8. Do you have a current mailing list and ways to access that list to send members information? Yes No How would you expect to notify your members about this charter program? Email messages Member newsletter Publication Other 9. We normally plan for one person from your organization to attend the program as a representative at no cost. The cost for attending the program for this person is included in the overall fees charged to other participants. Do you want us to include this cost in our overall program costs? Yes No 10. If there is anything else that you need to tell us about your interests in charter programs, or about your organization, please use the space below. Thank you.   We will reply to you within two (2) weeks after receipt of the information in this questionnaire.