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This is an explanation of the purpose of the form ...

Please provide the following contact information:

Name
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Select the week(s) you wish to rent the apartment for:

Feb 1 - 7, 2003
Feb 8 - 14, 2003
Feb 15 - 21, 2003
Feb 22 - 28, 2003
Mar 1 - 7, 2003
Mar 8 - 14, 2003
Mar 15 - 21, 2003
Mar 22 - 28, 2003
Mar 29 - Apr 4, 2003
Apr 5 - 11, 2003
Apr 12 - 18, 2003
Apt 19 - 25, 2003
Apr 26 - May 2, 2003
May 3 - 9, 2003
May 10 - 16, 2003
May 17 - 23, 2003
May 24 - 30, 2003
May 31 - Jun 6, 2003
Jun 7 - 13, 2003
Jun 14 - 20, 2003
Jun 21 - 27, 2003
Jun 28 - Jul 4, 2003
Jul 5 - 11, 2003
Jul 12 - 18, 2003
Jul 19 - 25, 2003
Jul 26 - Aug 1, 2003
Aug 2 - 8, 2003
Aug 9-15, 2003
Aug 16 - 22, 2003
Aug 23 - 29, 2003
Aug 30 - Sep 5, 2003
Sep 6 - 12, 2003
Sep 13 - 19, 2003
Sep 20 - 26, 2003
Sep 27 - Oct 3, 2003
Oct 4 - 10, 2003
Oct 11 - 17, 2003
Oct 18 - 24, 2003
Oct 25 - 31, 2003
Nov 1 - 7, 2003
Nov 8 - 14, 2003
Nov 15 - 21, 2003
Nov 22 - 28, 2003
Nov 29 - Dec 5, 2003
Dec 6 - 12, 2003
Dec 13 - 19, 2003
Dec 20 - 26, 2003
Dec 27, 2003 - Jan 2, 2004

Enter the total cost (in GB pounds):


Enter deposit (min. 50 pounds):


Enter Balance (due 2 weeks before departure):


Choose the number of adults:


Choose the number of children:



Author information goes here.
Copyright 1999 [OrganizationName]. All rights reserved.
Revised: January 21, 2003