| Name: |
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| Full address: |
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| Email (type carefully): |
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| Tel – Home: |
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| Tel – Work: |
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| Fax no: |
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| How many adults? |
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| How many children? |
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| Ages of children: |
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| Type of room: |
single room(s)
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| |
twin room(s) |
| |
double room(s) |
| |
family room(s) |
| Private bathroom essential? |
Yes
No
|
| Please list the codes of three homes that appeal to you. If none of these is available, we will suggest a comparable alternative. |
| First choice: |
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| Second choice: |
|
| Third choice: |
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| Arrival date: |
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| Departure date: |
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| Number of nights: |
|
| Are you a smoker? |
Yes
No |
Airport or station
you will arrive at… |
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| Arrival time: |
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| Flight number: |
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| Will you go direct to your accommodation? |
Yes
No |
| Will you have a car? |
Yes
No |
Helpful information such as age group and reasons for visit: |
|
| How did you learn about London Home-to-Home? |
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Date:
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