INTEREST FORMDuke Fuqua Southeast Asia Trek | Spring Break 2026 Name * First Name Last Name Email * Phone * Country (###) ### #### Which year are you in? * If you are a partner, please choose your significant other's program year 1st year 2nd year 3rd year or more How many days / cities would you like to visit / spend during the trek? * 6 - 8 days | 2 cities 8 - 10 days | 3 cities 10 - 12 days | 4 cities What is your preferred price range for this trip? * $2,300 - $2,600 for a 10-day trek with Full Service (includes double occupancy accommodation at 4+ star hotels, flights between cities, private tour guide, all meals, all activities & transfer, small group airport pick-up/drop-off) $2,000 - $2,300 for a 10-day trek with Moderate Service (includes double occupancy accommodation at 4+ star hotels, flights between cities, private tour guide, most meals, most activities & transfer) $1,800 - $2,000 for a 10-day trek with Limited Service (includes double occupancy accommodation at 3+ star hotels, flights between cities, private tour guide, some meals, some activities & transfer) What do you expect out of the trek? * Select all that applies Culture & Sightseeing Nature & Landscape Nightlife & Parties Local Cuisine Fun Activities How likely are you to join the trek? * 0 - 25% I don't know why I'm here 25% - 50% I'm hesitant but FOMO might get me to sign up later 50% - 75% I'm likely to join if the trek fits well with my schedule 75% - 100% Bucket list countries! I'll try to work around my schedule for this trek Dietary Restrictions Any factors that will increase your likelihood of joining the trek? or anything you would like us to consider? Thank you for your response!Don’t forget to join our WhatsApp Group to get real-time updates about the trek » https://chat.whatsapp.com/KHzFAB4uyhEETi9q6UCV5s To learn more about who we are, feel free to follow us on Instagram :)