Fruit Haven Guest Questionnaire

Full Name (as it appears on your passport) *

First Name Middle Name Last Name

Email *

example@example.com

When do you wish to come to Fruithaven, and for how long do you wish to stay as a guest? *

Do you wish to only stay for that proposed length of time as a paying guest, or are you interested in the possibility of staying as a volunteer after that? *

Which community area do you wish to stay in? *

Fruit Haven 1 See info on FH1 Fruit Haven 2 See info on FH2 Fruit Haven 3 See info on FH3

Single or double accommodation in FH1? *

Single Double

Single or double accommodation in FH2? *

Single Double

Single or double accommodation in FH3? *

Single Double

What kind of single accommodation in FH1?

Room 2 or 5 - $45/week or $170/month Room 4 - $40/week or $140/month Cabin - $45/week or $170/month Tent - $30/week or $100/month Pyramiradora See info on Pyramiradora - $30/week or $100/month

What kind of single accommodation in FH2?

Community house room - $45/week or $150/month Tent - $25/week or $100/month Tent platform - $30/week or $120/month

What kind of double accommodation in FH1?

Room 2 or 5 - $65/week or $270/month Room 4 - $65/week or $240/month Cabin - $65/week or $270/month Tent - $50/week or $200/month Pyramiradora See info on Pyramiradora - $50/week or $200/month

What kind of double accommodation in FH2?

Community house room - $65/week or $250/month Tent - $50/week or $200/month Tent platform - $60/week or $240/month

What kind of single accommodation in FH3?

Double Room - $45/week or $160/month Single Room - $40/week or $150/month Tent - $25/week or $100/month

What kind of double accommodation in FH3?

Double Room - $65/week or $260/month Tent - $50/week or $200/month

Do you agree to abide by the guidelines on this page Diet and Lifestyle ? *

Where are you from, where did you grow up, where do you live now? *

Please list any social media profile links you may have (Facebook, Youtube, etc) *

What is your age? *

Date *

Date

How did you find out about Fruit Haven?

Coupon Code: (Enter a coupon code if you have one)

(Enter a coupon code if you have one)