Guest Contact Form

Please fill out and submit this form and we will contact you as soon as possible.

Guest Information
Gender of Guest Male Female
Please mark the gender of the guest.
Name * First Last
Please fill out guest's full name.
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please fill out guest's current place of residence.
Home Phone - (###) - ### ####
Please fill out the phone number of guest's current place of residence.
Mobile Phone - (###) - ### ####
Please enter guest's cellular/mobile phone.
Work Phone - (###) - ### ####
Please enter guest's current work number.
International Phone

If applicable, please enter guest's international phone number.
Alternate International Phone

If applicable, please enter guest's alternate international phone number.
Best Number to Reach Guest *

Please indicate the most appropriate phone number to reach the guest.
Email Address *

Please enter guest's email address.
Number of Guests

Please enter the number of guests that will be staying.
Reason for Moving *

Please provide a reason for moving to a new home.
How did you learn about HomeStay?

Please tell us how or where you learned about HomeStay Inc.
Rental Unit Preferences
Town or City: First Choice *

Please enter the location(s) the guest would prefer to stay in.
Town or City: Second Choice

Please enter the location(s) the guest would prefer to stay in.
Town or City: Third Choice

Please enter the location(s) the guest would prefer to stay in.
Town or City: Fourth Choice

Please enter the location(s) the guest would prefer to stay in.
Town or City: Fifth Choice

Please enter the location(s) the guest would prefer to stay in.
Maximum Budget * $ . Dollars Cents
Please fill out the maximum amount of money guest will spend on a place of stay. Database results will be limited up to this price, incorporating lower prices.
Projected Move-in Date * / MM / DD YYYY
Please fill out the date the guest plans to move in.
Projected Move-Out Date * / MM / DD YYYY
Please fill out the date the guest plans to move out.
Prefered Type of Units * Room House Apartment Studio Apartment
Please check all boxes that apply to the guest's preference toward type of accommodation.
Furnishing Preference

Please indicate the guest's preference toward the furnishing of accommodation.
Bathroom Preference

Please indicate which preference the guest has toward bathroom sharing.
Kitchen Preference

Please indicate any preference the guest has toward a rental unit's kitchen.
Overnight Visitors

Please indicate the frequency of overnight visitors the guest will be expecting.
Smoking Information * Guest does smokes Guest does not smoke Smoking OK
Please mark any choices that apply to the guest.
Food and Pet Allergies

Please describe any allergies the guest has.
Guest Vehicle * Guest has a car Guest does not have a car
Transportation Information Parking for guest's car Train Bus
Please mark any the guest will require.
Pet Description/Weight

Please describe any pets the guest will have, including the approximate weight of the pet.
Employment Information
Company Name *

Please enter the name of the company or place of business to which the guest is employed.
Company Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please enter the address of the company or place of business the guest is employed to.
Contact Name * First Last
Please enter the name HomeStay can contact at the company or place of business the guest is employed to.
Contact Phone Number - (###) - ### ####
Listings Guest is Interested In

Please supply the listing ID for any listings found on our site or our advertising here.
Other Pertinent Information

Anything else the guest wishes to add about their inquiry goes here.

Guest Contact Form

Guest Contact Form

Guest Information

Rental Unit Preferences

Employment Information

Listings Guest is Interested In