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* 1. Please enter your full name

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* 2. Email address:

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* 3. Telephone number:

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* 4. What are you hoping to offer to Tibetans by visiting their home?

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* 5. What are you hoping to gain from the tour?

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* 6. Where have you traveled in the past or what experiences have you had that may prepare you for this journey?

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* 8. Where did you hear about the PURELAND project tour?

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* 9. Can you feel comfortable with squat toilets, no running water, no internet, wood fire heating, bad roads, and living in a place like this?

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