宿泊手配申込フォーム Accommodation Form Personal Information Family Name First Name Gender Male Female Date of Birth Address Country Postal Code Phone Fax Email Current Occupation Languages Spoken Japanese English French Others Please specify: English Proficiency Beginner Intermediate Advanced French Proficiency Beginner Intermediate Advanced Which school or company are you going to? What are your interests and hobbies? Do you smoke? Yes No Do you have any medical problems? Yes No Please specify: Do you have any allergies? Yes No Please specify: Emergency Contact Person's Name Phone Fax Email Stay Information Check In Date Check Out Date Accommodation Type Homestay Teacher's Homestay Furnished Appartment Student Residence Homestay Meal Plan No meals 2 meals per day (Breakfast & Dinner) Are you vegetarian? Yes No Host Family Spoken Language French English Bilingual Arrival Information Arrival Date Airline Flight Number Arrival Time Do you require Airport Pickup service? Yes (CDN$100) No Additional Information Agreement I agree to the Bonjour Montreal Terms of Service 送信
