Friends of Triel

Name(s):

Address:

Contact Phone Numbers: Home: Mobile:

Email:

Have you paid your annual subscription to Leatherhead Twinning Association: Yes No
(If No, please complete the Annual Membership Application otherwise this form may not be processed)

Describe level of spoken French:

Do you smoke? Yes No

Your approximate age(s):
Person 1: Under 21 21-40 41-60 61-80 Over 80
Person 2 (if applicable): Under 21 21-40 41-60 61-80 Over 80

Sleeping arrangements available: Single Room Double Room Twin Room
(Please check all applicable)

Please tell us if there is a particular family or person in Triel who you would like to host (optional):

(Although your preferences will be taken into account, no guarantee can be given.)

Additional information (optional):

None of the data entered on this form will be stored on this website.

By submitting this form you agree to your details being shared with the committee and other members of the Association.