STUDENT REGISTRATION
STUDENT/GUEST BOOKING FORM
PART 1: ABOUT YOUR PERSONAL INFORMATION :
Surname : Title :
Forename(s) :
Date of Birth : Age :
Gender : Marital Status :
Nationality : Languages Spoken :
Telephone : Mobile :
Email Address :    
Name of person to contact in case of emergency :
Their telephone number:
Their e-mail address:
Any disability : Please give deails :
Do you have any special needs? Please give deails :
Ethnic origin
       
PART 2: ABOUT YOUR TRAVEL TO THE UK
Date of arrival :
Port of departure from your country :
Port of arrival :
Time of arrival :
Vessel/Coach/Flight number :
       
PART 3: ABOUT SERVICES REQUIRED BY YOU
7 days / 1 week minimum booking ; please email info@lassod.com should you prefer different arrangements
Accommodation :
From : To :
Bed & Breakfast (B&B)
Half board: B&B + packed lunch
Half board: B&B + supper
Full board: B&B, packed lunch + supper
Self catering
Olympics accommodation or Special occasions
Single Room
Double room/bed
Couple
   
Location : Stay Period :
Service :   Location :   Stay Period :   Total Amount :  
Arrival meet up and support services :
Hours : Time required (if applicable) :
Concierge :
Hours : Date(s)  required :
Personal shopping :
Hours : Date(s)  required :
Close protection (delivered by  our sister company) :
Hours : Date(s)  required :
   
Additional information  
       
Payment Options :      
Bank Transfer
Bank: Natwest
Bank address: UK
Sort code:60-19-28
Account number: 30029848
Name: LASSOD
IBAN : GB04 NWBK 6019 2830 0298 48
   
Paypal
I hereby authorise LASSOD Student and Guest Hosting UK to debit my account by.£......................
 
Upload Photo :    
 
Terms and Conditions of service
Accept Decline
Terms and Conditions of use of Website
Accept Decline
     
       
 
 
 
© Copyright 2012. All Rights Reserved  Home | Contact Us | About Us | Terms & Conditions | Privacy Policy
Website designed/developed by eBusinessFocus