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ESLStay Guest Information

 

 

Name________________________________________________________________________________________________________

aaaaaaaaaLast (family name)                                                First

 

Address ______________________________________________________________________________________________________

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Telephone number            ______________________________________________________________________________________

Email address                    _______________________________________________________________________________________

 

 

Other contact information (name   address     phone)  (for emergencies)

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Age:         under 18 ___         18 – 29 ___        30 – 39 ___       40 – 49 ___       50 and over ___

 

Occupation:  ________________________________________________________________________________________________

 

 

How did you learn about ESLStay?  ____________________________________________________________________________

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How would you like to spend your time in Seattle? ______________________________________________________________

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Do you have any other information or questions about your hosts, the program, etc.?   We hope to provide

you with a wonderful experience, so please feel free to ask about anything.

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Ms. Gini Schmidt @ ESLStay                                                                telephone:    206-818-8190

10544  41st  Place NE                                                                               email:   eslstaygini@gmail.com

Seattle, WA   98125      USA