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Becoming a river host

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*First Name:

*Last Name:

*Email:

*Mobile Phone:

Contact Preference:

Permanent Address Line 1:

This is your permanent address

Permanent Address Line 2:

This is your permanent address

City:

State/Province:

ZIP/Postal Code:

River Address Line 1:

This is your river address

River Address Line 2:

This is your river address

City:

ZIP/Postal Code:

Basic Info on Living Space:

Give us a little basic information about your living space. Please include mainland or boat access only, # of bedrooms, # of bathrooms, and any other info you would like to share.

Additional comments:

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ph: 315-383-1078, 585-703-2191
info@1000thanks.us