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*Username:

Your registration is not complete until you have filled out this “personal profile” form. Please complete all fields and remember to click on “Register/Update Registration” at the bottom of the page.

If you need clarification, click on the question mark for assistance.

This information is for administration use “ONLY” it will not be given out, or used for any purpose other than contacting you from BHB, and then only if necessary.

*Email Contact (private):

*Password:

*Password confirm:

*First Name:

*Last Name:

*Primary Phone Number (private):

Alternate Phone Number (private):

Please enter full address including postal code. This information is for administration use “ONLY” it will not be given out, or used for any purpose other than contacting you from BHB, and then only if necessary.

*Address (private):

*Country:

Please enter your State/Province/Territory, or your Countries' first-level (top-level) subdivision. Please Do Not Abbreviate.

*State/Province/Territory (no abbreviations):

*City:

*Postal Code:

*Tell Us About Yourself:

*Level of birding enjoyment:

Fanatic
Birding Expert
Lister
Recreational
Novice
Backyard Birder

*Home Style:

Please tell us how many Guests you are comfortable accommodating.

*Our home can accommodate:

Please enter how many Bedrooms you have available for Guests.

*Bedrooms Available:

1
2
3
4
5
More

*Beds Available (check all that apply):

2 King Sized
1 King Sized
2 Queen Sized
1 Queen Sized
2 Full Sized
1 Full Sized
2 Twin Sized
1 Twin Sized

*Baths:

*Residents in our home:

*Kids in our home:

Yes
No

*Pets in our home:

Birds
Cats
Dogs
Other
None

Additional Pet Information:

*Non-smokers, or smokers:

Non-smokers
Smokers

Additional Information:

*Nearest Large City:

*Nearest Airport:

*Languages spoken:

*Special Notes:

Enjoy a Fine Wine
Pets Welcome
Children Welcome
We are Smokers
No Alcohol
No Pets
No Children
No Smoking
None

Additional Special Notes:

Promotional Code (if any):

What type of visitors do you want?:

Hosting (spare bedroom)
Home Exchange (house swap)
Roosting (sofa or sleeping bag)

*How did you hear about us?:

Don't forget to click the Register/Update Registration link below when finished with this form.

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