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Your Details
Your Name(s): Nanashi No Gombe Name for mailing purposes
Postal Code: 170-1234 Postal Code for mailing purposes
Prefecture: Tokyo Prefecture for mailing purposes
City/Village/Ward: Chuo ward
Sub area: Ginza
Block/House number: 3-2-1
Region of Exchange home: Kanto
Telephone: +81-3-3111-1111 - one number only
Fax: +81-3-3111-1111 - one number only
Email: me@home.com - one address only
URL: www.yourDomain.com - personal web site
Occupation: physician/teacher - you & your spouse
Family Size:
Adults
Teens
Children
 Adults-Teens-Children
2 - 1 - 1
Location: Please enter nearest major city or town, distance home is away and direction from major city or town TO your home.
Tokyo 1k, S = home is 1 kilometer south of Tokyo. 
Dates: Please use one of the following formats, precisely:
3w, Anytime; OR 7d-3w, 1 Jul-30 Aug

Exchange Transaction(s)
Exchange You will be in their home at the same time they are in yours
Exchange Hospitality You host them in your home, then they host you in theirs (& vice-versa)
Non-simultaneous Exchange You have a 2nd home, so the exchange need not be simultaneous
Long-Term Exchange 6 weeks or more

Home Details
House with one floor
House with more than one floor
Apartment, Flat, Townhouse
Holiday/Second home 		4 The number of guests comfortably accommodated
2 The number of available bedrooms
1 The number of bathrooms

Homelink Destinations

First Preference:


Second Preference:


Third Preference:


Fourth Preference:


Fifth Preference:


Description of your home & area
Please limit your selections to TWENTY
Extras





exchange cars bicycles baby sitters use of motor home
experienced exchanger domestic help facilities for handicapped use of second home
infant care pets use of boat  
Area Attractions
tourist attractions cultural attractions convenient shopping college / university
friendly neighbours forest / woods lake mountains
museums park / playground beach sea / ocean
quiet neighbourhood restaurants swimming (public) public transportation
theater  
 
 
Home Features
air conditioning extensive grounds washer/dryer antiques
deck/balcony fireplace garage garden
stereo/hi-fi elevator modern kitchen parking
piano seclusion / privacy family room sauna/hot tub
swimming (private) security / doorman television view
video cassette recorder waterfront dishwasher terrace / patio / yard
Activities Available
country club privileges fishing golf hiking
horse riding boating / surfing skiing spectator sports
tennis  
 
 
Caveats
car necessary no children no pets non smokers only
Descriptive Text
Use this Description area to say something special about your home or surroundings and area attractions, particular cities you wish to visit, etc.

Please limit your text to 30 words or less.

AFTER your listing is on our website, you can add as much text as you please!

Photos
You can upload 1 Portrait (ie, tall and narrow), OR 2 Landscape (ie, short and wide) photos.
(Please note: the maximum file size for each photo is 200kb)

First Photo

Second Photo
If you don't have any digital photos of your home to upload, or you are not confident about this step,
simply post a couple of photos to the address at the bottom of this form. We will scan and upload your photos for you.

Payment Details
Payment by:
VISA
MasterCard
Bankcard
AMEX
Credit Card Number:
Expiry Date:
Name on card:
¥ 28000 JPY Home Exchange, including both copies of the Directory and web access to listings.
¥ 19000 JPY Home Exchange, with web access to listings only.

Our Postal Address
HomeLink Australia, PO Box 48, Newcastle NSW 2300 AUSTRALIA
Fax: +61 2 4948 9749

Terms and Conditions
I accept the Terms and Conditions of membership


HomeLink International endorses and supports the World Tourism Organization's Global Code of Ethics for Tourism (Oct 1999)