To book accommodation for the year 2002 please fill in this Application Form and press 'send', then mail a cheque or Bank Draft for 15 weeks accommodation plus $100.00 Key and Linen Deposit to :-
Allenby House, 410 Burwood Road, Hawthorn 3122, Victoria, Australia.
Your booking will be confirmed once your Application and Bank Draft are received at this office.

Please state where you heard of Allenby House
I, (Please print your full name) apply for accommodation to become a resident at Allenby House in 2002. I have read the "Allenby House Rules" and understand these rules apply to every resident of the Hostel. I agree to observe and abide by these Hostel Rules whilst I am in residence. I understand that accommodation fees are payable in advance and are non-refundable. I also understand there is a $100.00 Key & Linen deposit which is refundable upon my Departure.
Date of Birth (dd/mm/yyyy)		Age last Birthday
Gender	Female Male	Date of Arrival
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Accommodation Charges Breakfast included Permanent (15 weeks rent in advance) Private Room: $130 per week Shared Room: $110 per week  I will stay for 15 weeks or longer Date: