Formerly Tamworth Jaycees Home Hosting
Phone 02 6765 9052 & 02 6765 4099
Fax 02 6765 9052
P.O.Box 4
TAMWORTH, NSW 2340
The service being offered is bed and continental breakfast in a private residence.
(NAME OF THE PARTY ORGANISER)
* indicates required fields
*
Name:
Address:
City:
State:
Country:
Post Code:
*
Day Phone:
Night Phone:
*
E-mail:
FOR WHICH NIGHTS WILL YOUR PARTY BE REQUIRING ACCOMMODATION?:
From:
Friday 18th January 2008
Saturday 19th January 2008
Sunday 20th January 2008
Monday 21st January 2008
Tuesday 22nd January 2008
Wednesday 23th January 2008
Thursday 24th January 2008
Friday 25th January 2008
Saturday 26th January 2008
Sunday 27th January 2008
Monday 28th January 2008
Tuesday 29th January 2008
To:
Friday 18th January 2008
Saturday 19th January 2008
Sunday 20th January 2008
Monday 21st January 2008
Tuesday 22nd January 2008
Wednesday 23th January 2008
Thursday 24th January 2008
Friday 25th January 2008
Saturday 26th January 2008
Sunday 27th January 2008
Monday 28th January 2008
Tuesday 29th January 2008
EXACT NUMBER OF NIGHTS?
1
2
3
4
5
6
7
8
9
10
11
12
ARE ANY OF THE PARTY MEMBERS SMOKERS?
No
Yes
Unsure
ARE PETS A PROBLEM?
(80% of our hosts are families which have pets. This could cause problems with asthma & allergies)
No
Yes
Unsure
AGE RANGE:
Children under 5
Children under 12
12 - 30 Years
31 to 50 Years
51-65 Years
Over 65
TOTAL NUMBER OF ROOMS PREFERRED:
0
1
2
3
4
5
Double
0
1
2
3
4
5
Single
0
1
2
3
4
5
Twinshare
$100.00
$50.00
$100.00
Some homes do have more than one room available for guests so amenities will have to be shared. Some single requests may be twinshare.
ANTICIPATED TIME OF ARRIVAL:
Morning
Afternoon
Evening
Unsure
MODE OF ARRIVAL:
Car
Bus
Train
Plane
Unsure
PRICING PER PERSON PER NIGHT:
0
1
2
3
4
5
6
7
8
Adults
0
1
2
3
4
5
6
7
8
Under 12 Yrs
0
1
2
3
4
5
6
7
8
Under 1 Year
$50.00
$15.00
Free
REGISTRATION & PAYMENTS:
Deposit of $55.00 per person is required with registration.
Balance is required by 31 / 12 / 07.
Payment will be made by:
Cheque
Direct Deposit
Money Order
CANCELLATIONS WITHIN TWO WEEKS OF ARRIVAL DATE WILL ATTRACT A
CANCELLATION FEE OF ONE NIGHT'S STAY PER PERSON
Please make all Cheque/money orders payable to
Tamworth RC Homehosting
or direct deposit to the following account
and use your surname as the reference:
Westpac - Tamworth Branch - (BSB) 032-621 (Account No.) 28 2633