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Homeshare enquiry form
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Homeshare enquiry form
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Enquire about Homeshare York
What are you enquiring about?
(required)
Please select
Being a Householder
Being a Homesharer
Making a referral
Householder details
Title
Full name
(required)
Telephone
(required)
Email address
(required)
What is your preferred day to be called? (Tick all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
What is your preferred time to be called? (Tick all that apply)
9.00am to midday
Midday to 5.00pm
5.00pm to 8.00pm
Homesharer details
Title
Full name
(required)
Telephone
(required)
Email address
(required)
What is your preferred day to be called? (Tick all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
What is your preferred time to be called
9.00am to midday
Midday to 5.00pm
5.00pm to 8.00pm
Referral details
Title
Full name
(required)
Telephone
(required)
Email address
(required)
What is your role and organisation?
Which role are you enquiring about?
(required)
Please select
Householder
Homesharer
Do you have a preferred day to be contacted? (Tick all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Which time of day would you prefer to be contacted? (Tick all that apply)
9.00am to midday
Midday to 5.00pm
5.00pm to 8.00pm
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