Hospex form

You need to fill out this form and submit it in order to become a HospEx member.
Please fill out all the fields.

Please bear in mind, that sometimes it can last several weeks before you get confirmation. We are backlogged ...

COUNTRY:
STATE:	(if in US)
TOWN:
FIRSTNAME:
LASTNAME:
EMAIL:
PERSONAL URL:	(if you have one)
ADDRESS:
PHONE:
FAX:
SEX:	male female couple
AGE:
TYPE OF ACCOM.:
LOCATION IN TOWN:
MAX NUMBER OF GUESTS:	(one, two, more ...)
MAXIMUM LENGTH OF STAY:
SHARED COSTS: (remeber it is free - no flat fees please)	(e.g. food, long distance phone calls, drinks, transportation, eating out, or totally free, etc.)
LANGUAGES SPOKEN:
RESTRICTIONS:
EXPECTATIONS:
ABOUT THE HOST:
HOBBIES:
WHERE DID YOU LEARN ABOUT HOSPEX:	e.g. from a friend, from Internet search engine (which one ?), from a book, a magazine (which ?), surfing the web (which link ?) etc.