Teachers
Travel Web Membership Application
Sorry but we are currently having technical problems with the electronic form.
To submit your membership application or to resubscribe, please copy and paste this form in a Word document, fill it in, attach it to an email to info@teacherstravelweb.com or post it to TTW:
Teachers Travel Web
p/a Chris and Peter De Houwer
Junolaan 17
B 2900 Schoten
Belgium
Europe
Anyone who teaches something to someone, or has retired from employment in Education
may apply to join Teacherstravelweb. The membership also covers immediate
family such as spouse, children. It does NOT cover other couples or teaching colleagues.
Once your application is received,
we will email you to confirm your details. All bookings, and arrangements
for hosting will be through your email, so please supply the email address
you access most often.
Please note all fields are required
and please print clearly. Thank you.
| Name: ________________________________________________________ |
|
| E-mail Address:_________________________________________________ |
|
| Second E-mail Address:_(Required)________________________________________________ |
|
| Occupation:____________________________________________________ |
|
| Subjects Taught:________________________________________________ |
|
| Are you retired? __________________________ |
|
| Partner's Name:_____________________________________________ |
|
| Partner's Occupation:_________________________________________ |
|
| Street Address:_________________________________________________ |
|
|
__________________________________________________ |
|
| City:___________________________________________________________ |
|
| State:__________________________________________________________ |
|
| Zip:____________________________________________________________ |
| Country:_________________________________________________________ |
|
| Phone:_________________________________________________________ |
|
| Fax:___________________________________________________________ |
|
Description of your area (this is used for your listing)
| Nearest City:_____________________________________________________ |
| How long to travel from
that city?______________________________________ |
Is public transportation
available? Yes No
Please briefly describe what there
is to do in your area:
_________________________________________________________________
_________________________________________________________________
_______________________________________________________
Please describe your hobbies and
interests:
_________________________________________________________________
Where did you hear about Teacherstravelweb?
_________________________________________________________________
What countries, or types of places
do you like to visit?
_________________________________________________________________
Do you want to be added to the home
exchange programme, the home hosting programme, or both programmes?________________
(home exchange) Where do you wish to stay?_______________________________________
(home exchange) For how long? ___________________________________ |
| Description of your
Guest Accommodation (tick box) |
Type of Accommodation
Select One House
qApartmentq
Holiday home
qOther q
Setting: Countryq
Town qBeachq
If other, please describe:
Number. of Guest Rooms:
Maximum number of guests you
can host: |
| Beds
King qQueen q
Doubleq Twin
q Fold-out qSingle |
| Bathroom
Shared qPrivate
q |
Please briefly describe
any unique features or restrictions in your home (eg,. Non
Smoking):
________________________________________________________ |
Click
here for current exchange rates or visit http://www.xe.com/pca/
|
|
In submitting this form, I understand
that I will hold full responsibility for the accuracy of this information.
As a member I understand that Teachers' Travel Web provides no warranties
as to the accommodations offered by its members nor for the conduct of
participating members. Accordingly, I hereby release and hold harmless
Teachers' Travel Web from all liability arising out of my participation
as a member.
_______________________________________________________Members'
signature |
