INTERNATIONAL ACCOMMODATION

E-MAIL (CANADA) [email protected] . . . . . (ALBANIA) [email protected]

SERVICE AGREEMENT

BY READING AND SIGNING THIS CONTRACT YOU (THE CLIENT) UNDERSTAND AND AGREE TO THE CONDITIONS AS TO WHAT WE (INTERNATIONAL ACCOMMODATIONS) WILL DO FOR YOU AND YOUR FAMILY WHEN YOU ARE READY TO LEAVE THE COUNTRY THAT YOU ARE NOW RESIDING IN AND MOVE TO TORONTO, ONTARIO, CANADA.

FURTHER CLIENT INFORMATION:

{Please print clearly}

FIRST NAME:_ SURNAME:______________

PHONE #: ALT. PHONE #

ADDRESS:_________________________________________________________

_________________________________________________________

_________________________________________________________

FAX NUMBER: E-MAIL:_____

IN CASE OF AN EMERGENCY, WHO SHOULD WE CONTACT?

NAME_______________ RELATION

PHONE #_ ALTERNATE PHONE #_

ARE YOU ELIGIBLE TO COME TO CANADA AND IN POSESSION OF A VALID PASSPORT, VISA OR

PROPER IMMIGRATION PAPERS? YES NO

CLIENT SIGNATURE_____________________________________

WITNESS SIGNATURE____________________________________

DATE MONTH YEAR

AFTER READING AND SIGNING THIS FORM COMPLETELY, PLEASE PRESENT IT TO OUR REPRESENTATIVE IN ALBANIA SO THAT THEY CAN FORWARD IT TO US. ALL INFORMATION YOU PROVIDE TO US WILL BE KEPT CONFIDENTIAL.