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2009 REGISTRATION FORM - HOST

I was a host family in 2005 2006 2007 New family

PERSONNAL INFORMATION

Last name:

First name:

Male Female

Age:

Address:

Town:

Province:

Postal code:

Phone number (day):
- Ext.

Phone number (night):
-

E-mail:

Spoken language:
French English

Others:

T-Shirt size:

S M L XL XXL

ADDITIONAL INFORMATION

How many disposed beds would
you like from the chorists?

Are you a smoker?
Yes No

Do you own a pet?

Yes No

If yes, which ones:

If there is any other relevant information you wish to share with us, please refer to the above:

AVAILABILITY - 19 June to 12 July
Please select dates when you are ready to take charge of the chorists

JUNE 2009
S	M	T	W	T	F	S
	1	2	3	4	5	6
7	8	9	10	11	12	13
14	15	16	17	18	19	20
21	22	23	24	25	26	27
28	29	30

JULY 2009
S	M	T	W	T	F	S
			1	2	3	4
5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	30	31

The "Mondial Choral Loto-Québec" thank's you for your inrest. This form does not constitute an assurance of voluntary just as it does not constitute a formal commitment on your part.

Lauréat régional Grands Prix du Tourisme Québecois 2009

info@mondialchoral.org | telephone : 514 935-9229, 1 888 935-9229 ● fax : 514 938-1682 ● 1751 Rue Richardson, bureau 3200, Montréal (Québec) Canada H3K 1G6