Black History Month on The Continent Waitlist

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Please complete this form to join the waitlist and register for the informational call.
Name*

First Name (Legal)Last Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you ever traveled to West Africa?*

YesNo
Do you have a valid Passport that expires after 9.1.24?*

YesNo
What most interests you about this trip?*

Cultural ExperienceAfrican AncestryInvesting or Doing BusinessSight SeeingJust the experience of another country
Do you have a roommate?*

No (Traveling solo)No (But I would like a roommate)Yes
Roommate:*
What is your biggest concern or fear about taking this journey?*
How did you hear about this experience?*

Dee C. MarshallStefani FarrisAwamary Lowe-KhanMaimuna BarrowMSDLSister CEOs
What's the best way to reach you?*

Email meCall meInvite me to the Info CallOther
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JOIN THE WAITLIST