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Registration

About registration

The registration form is divided into three sections A, B and C.
Section A is for personal details and will be treated in the strictest confidence. Fill out this section carefully, particularly your state/national medical license number, as it will be used for verification.
Section B concerns your house and area. This section will be sent to prospective swoppers so it is important not to leave anything relevant out. Describe your house in detail, number of bedrooms, utilities, location, whether it is urban, suburban or rural and how many it is suitable for. Your house must be in first class condition and repair. Detail all local attractions; beaches, golf courses, ski resorts, places of interest, etc. Remember this will help to make your swop more attractive.
Section C deals with your dates of departure and your desired destination.

REGISTRATION

 
   
SECTION A
Name --
   
Address --
   
Telephone --
   
E - Mail --
   
Medical School
   
Year of Graduation
   
State / National Medical License
Number ---
   
SECTION B  
   
City / Town / Area
   
State / Country
   
Description of House -
   

Local Places of Interest -
   

Leisure activities available locally -
   

Do you have a car that you would consider swopping?
If yes. State make and model. --
   
SECTION C
   
Dates;
departure/return --
   
Destination desired; specific/general -
   
Any additional comments -
   

   
   
 
 
         
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Registration page by Be-inspired Internet Wexford, Ireland.