London Host Families Ltd.

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London Host Families

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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. 4a Station Parade, London W5 3LD . :

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 We will contact you on this email address
Sex	Male Female
Date of birth	dd/mm/yyyy
Address line 1
Town
Post Code
Tel
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:
Duration of stay	from to dd/mm/yyyy
Transport required : Yes No	Airport :

How did you hear about us : Please specify:
Have you been with LHF before? If yes which family have you stayed with?

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

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