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London Host Families Ltd
London Host Families
 
Find the perfect family
Reservation Form

Please fill out the application form and click on the submit-button in order to send it by email.You can also print it out and fax it or send it by traditional mail.

77 The Grove Ealing
London
W5 5LL

tel : 00 44 (0)208 810 10 41

e-mail : info@londonhostfamilies.com


Sending this reservation form does not oblige you to complete the booking. We will respond as soon as possible with details on a proposed accommodation before you send payment.

PERSONAL INFORMATION
Name
Surname
Email Address
Sex

Male
Female

ID Card N°
Date of birth dd/mm/yyyy
Address
Town
Post Code
Tel
Fax
Nationality
N° of persons Adults
Children
ACCOMMODATION REQUIRED

Single Room
Double Room
Twin Room
1st Choice
2nd Choice

Room only
Breakfast only
Breakfast and Eve Meal

Special Requirements :

Student *
Work Placement *

*
If you are a student or on work placement you must give your school or company name and address below:


Smoker
Non-Smoker

Are you allergic to anything
(animals, food etc - confirmed allergies only please) :



Do you have a medical condition? If so please specify:

LANGUAGE COURSE/SCHOOL (if required)
Course required (Optional) from to dd/mm/yyyy
hours per week :
Duration of stay from to dd/mm/yyyy
Arrival time
(nb without precise arrival information we cannot organise for someone to wait at your family accommodation for you)
At eg. Airport
Time
 
How did you hear about us :


Please specify:
Have you been with LHF before? If yes which family have you stayed with?


DATE: dd/mm/yyyy

Declaration:
I/We have read and understood and agree to the terms and conditions/general agreement
.


 
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