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HOST REGISTRATION FORM
City, State, Zip:
Mensa Membership Number:
Interests & Hobbies:
Nearby Centres of Interest:
Nearby Public Transportation:
q Have pets in the home
q Have children
What kind of hospitality can you offer?
q Information on travel
q Mensa activity
q Sightseeing guidance
q Accommodation for _________ persons for _________ days maximum
q Impromptu Mensa open house
q Telephone/Email hospitality & advice only
Are you bothered by:
Is some form of payment requested?
Please include any additional comments that may help us to better select guests for you: