PLEASE PRINT, FILL OUT, AND MAIL WITH CHECK TO THE ADDRESS BELOW
HOME to HOME Renewal Form
q Please renew my “Directory
Membership” for $40.00 per year
q Please renew my “Host-Only
Membership” for $20.00 per year
q I am a pastor,
missionary or full-time Christian ministry worker—please renew my
“Discount Directory Membership” for $20.00 per year
q We are not able
to pay a renewal fee at this time, but would like to remain
listed in the online directory for one more year.
q Please remove us
from the online directory as soon as possible.
PLEASE
FILL OUT AND MAIL WITH YOUR CHECK OR U.S. MONEY ORDER TO ADDRESS BELOW:
Name(s):
___________________________________________________________________________________________
Mailing
Address:
____________________________________________________________________________________
City:
______________________ State/Province _____________________Zip______________
Country_______________
Home
Phone: (___) _______________ FAX: (___) ________________ E-Mail:
___________________________________
Any
new additions to your family? _______
Name(s) & age(s): ________________________________________________
_________________________________________________________________________________________________
Would
any of your children enjoy being a pen pal with another member’s child?
___________
Would
you be interested in participating in a home exchange program?____________
Are
you a homeschooling family? __________
Curriculum?___________________________________________________
Have
you moved? ________ If you haven’t
moved, please skip the next 11 questions . . .
1. If you have moved, check the type of residence
below:
q Within city limits q Suburb
q Rural
2. Name of nearest major city: ________________________
3. Number
of miles from nearest major city: ___________
4. Primary compass direction from nearest major city: N q S q E q W q NE q SE q NW q SW q
5. Check the type of residence available: House q Apartment q Townhouse/Condominium q
Mobile
home q Guest
house q
Other: _____________________________________________
6. Check the number of guests your home can comfortably
accommodate or that you will accept:
1-2 q 2-3 q 3-4 q 4-5 q 6+ q
7. Check the area of your residence that is available to
guests:
Bedroom(s) q Basement q Living/Family room q Other:
__________________________________
8. Check the number of beds/couches/cots/futons, etc.
available for guests (if any):
1 q 2 q 3 q 4 q 5 q 6 q Other:
___________________________________
9. Is your home wheelchair accessible? Ramp q 1-2 Steps q 3+ Steps q Not accessible q
10. What area (if any) would you have available for campers,
R.V.’s tents, etc.? _____________________________________
11. Check RV hookups available (if any): Sewer q Water q Electricity q None q
12. Please list things of seasonal, cultural, scenic, historic
or general interest near your new home (e.g. local strawberry festival, walking
distance to the community pool, 5 miles from botanical gardens,
etc.):___________________________
____________________________________________________________________________________________________
Please list any other changes we need to make to your directory listing below:________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Copytight 2007 Home To
Home, LLC
~~~~~~~~~~~~
Home To Home - The Christian Travel Network