Please read carefully our Trip Information and Terms and Conditions before completing and submitting this form. By completing and submitting this form, the applicant acknowledges reading, understanding, and agreeing to the Terms and Conditions set forth by American-International Homestays, Inc. Each traveler must complete a separate reservation form in full. Please complete this form, print it, and mail it to us with a $250 deposit per traveler. Make checks payable to "American-International Homestays, Inc." Thank you. We look forward to working with you. American-International Homestays, Inc. Joseph A. Kinczel, President Lori Graff, Vice-President Mailing Address Post Office Box 1754 Nederland CO 80466 Street Address (For overnight delivery) 294 Patricia Lane Rollinsville CO 80474 Telephone 800-876-2048 303-258-3234 Fax: 303-258-3264 Email: ash@igc.apc.org      American-International Homestays, Inc. Reservation Form
Name
Street Address
City
State
Zip Code
Country
Daytime Phone Number (area code first)
Evening Phone Number (area code first)
Desired Trip Cities	City #1 City #2 City #3 City #4
Travel Dates	City #1 City #2 City #3 City #4
Passport Number	expiration date:
Date of Birth
Signature:
Date:
By completing and submitting this form along with a $250 deposit, the above named acknowledges reading, understanding, and agreeing to the terms and conditions set forth by American-International Homestays, Inc.