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Registration form (hosts)
Host:
A person who has a space to offer in his or her home for sharing.
About me
gender *
Male
Female
Smoker? *
Yes
No
Occupancy *
Retraité
Salarié
Entrepreneur
Sans emploi
Au foyer
Bénéficiaire d’aide social
Étudiant
Autre (précisez)
Housing features
Sector
Hull
Gatineau
Aylmer
Buckingham
Autre (précisez)
Type of rental offered
Chambre au rez-de-chaussée
Chambre à l’étage
Chambre au sous-sol
Garçonnière ou sous-sol complet
Autre (précisez)
Services required
Ménage intérieur
Ménage extérieur
Préparation de repas
Accompagnement transport (épicerie ou rdv médical)
Bathroom
Private
Shared
Furnished?
Yes
No
Animals? *
Yes
No
Parking? *
Yes
No Precision
Contribution requested *
Gratuit en échange de service
Autre
Cost
$
20.00
Registration and payment
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