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Paying Guests Application Form

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SUMMARY

 

 

INSTRUCTIONS:

 

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Fill in the application form on-line. All fields marked with a * are required and must be completed

 
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Once your application has been received you will be given a reference N that you will need to quote on all correspondence, e-mails or when contacting us by telephone

 
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We will contact you within 24 hours to confirm your booking

 

First Name*

Last Name*

Home Tel N (country code first)

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Work Tel N (country code first)

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Mobile Tel N (country code first)

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Fax N (country code first)

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E-mail

Address Line 1*

Address Line2

City*

County/State*

 

Zip/Postal Code*

Country*

Next of kin (if different from above) Address Line 1:

Next of kin Address Line 2:

Next of kin City:

Next of kin County/State:

Next of kin Zip/Postal Code:

Next of kin Country:

Next of kin Tel N (country code first)

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Nationality:*

Marital Status*

Religion:

Gender:*

Age:*

D.o.B.:*

Profession::*

Arrival Date:*

Departure Date:*

N of nights required:*

N of people:*

Do you smoke?*

If you smoke would you be willing to smoke only outside the host family's home?*

Are you willing to go to a family with animals?*

Type of accommodation:*

Type of room?*

Category:*

Reason of visit:

If student name of school:

If you are doing a work experience name of employer:

Do you require a babysitting service?*

Any other relevant information which you feel is important: (allergies, particular dietary requirements etc):

How did you find our web site? ?* Please quote Ref N if applicable

 

By clicking "Continue", I agree to be bound by totalnannies.com's conditions

Conditions

 

totalnannies.com privacy policy comments disclaimer last updated 24/10/2013 06:58:27   .

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