Furnished Accommodation Form First Name* Last Name* Gender* Male Female Nationality* Date of Birth* DD slash MM slash YYYY Email* Phone Number* Accommodation Options* Furnished Property (Sydney only) Cozzy Accommodation Either First night's sleep* DD slash MM slash YYYY Last night's sleep* DD slash MM slash YYYY Move out date* DD slash MM slash YYYY Requested City*SydneyMelbourneBrisbanePerthPreferred location in chosen city Internship Address (if applicable) Maximum budget $AUD/week (minimum $190/week)* Do you agree to share a room* Yes No Any additional informationWe will send you accommodation options to consider which meet your above requirements. Prices vary.Agent / Partner Use OnlyAgent / Partner Company Name Invoicing Invoice the intern directly Invoice the agent / partner Invoice Amount First 4 weeks only Entire stay T & C'sTerms & Conditions* I have read, understood and agree to the Furnished Property Accommodation fees, terms & conditions . Terms & Conditions* I have read, understood and agree to the Cozzy Accommodation fees, terms & conditions Terms & Conditions* I have read, understood and agree to both the Cozzy & Furnished Property Accommodation fees, terms and conditions.
