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ABOUT AUSTRALIA
- - About Sydney
- - Public Transport

HOMESTAY BOOKING FORM

Please complete the form and read the Terms and Conditions in order to finalize your homestay request. Your request will be processed in two business days. Please feel free to contact us at info@cozzystay.com

Personal Details

Country of origin

Full name *

Date of birth:

Email address *

Email address confirmation:

Gender *
Male Female

Do you have any allergies?
Yes No

Please specify:

Close (X)

Do you have any health problems?
Yes No

Please, specify:

Close (X)

Do you smoke?
Yes No

Are you a student?
Yes No

Name and location of school / college

Close (X)

Type of room required

For more people, please do another book.

Close (X)

Double room only available for 2 friends with same arrival date. Otherwise single room rates apply.

Person 2 : Full Name :

Date of birth :

Email address:

Email address confirmation:

Gender
Yes No

Do you have any allergies?
Yes No

Please specify:

Close (X)

Do you have any health problems?
Yes No

Please, specify:

Close (X)

Do you smoke
Yes No

Are you a student?
Yes No

Name and location of school / college

Close (X)

Homestay details

City *

Are you already in Australia? If yes, please specify which city *
Yes No

Address:

Close (X)

Accommodation arrival date *

Accommodation departure date (minimum 2 weeks required)

Accommodation departure date must be bigger than Accommodation arrival date.

Airport Trasfer

Airport pick up required *
Yes No

Airport

Airline

Arrival date

Arrival time

Flight Number

Close (X)

Airport drop off required *
Yes No

Airport

Airline

Departure date

Departure time

Obs : Please choose the time you would like to be picked up carefully. Cozzystay do not take any responsibility for external reasons for a delay such as traffic.

Close (X)

Name and address of person to contact in case of emergency:

Full Name:

Relationship to you:

Phone:

Mobile Number:

Email:

Would you like to add any observation?
Yes No

I have read the Terms and Conditions and agree to them.

Enter Word Verification in box below *