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Please indicate your first name and surname
U of M UID Number:
Please Indicate the City or Cities, state(s), and or countries you will be traveling:
Please indicate the dates you will be traveling.
Student's phone number to be used while traveling:
Name of Hotel(s), Hostel(s), or friend(s) where you will be staying. If you are traveling to multiple cities, please indicate the city next to each accommodations you are staying.
Street address where you will be staying. If traveling to multiple cities, please indicate all addresses.
Phone number of Hotel, Hostel, or friend. Please indicate all along with city, if traveling to multiple cities.
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