Membership Form First name Family name Name: Email: Phone: Choose a Password Repeat your Password: (4 to 20 characters long) Permanent Home or Contact Address: Street Town/City Region and Code Country Expected date of departure from above address: Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Month January Febuary March April May June July August September October November December Year 2008 2009 2010 2011 Reasons for joining Wwoof: Occupation: Have you WWOOFed before?: Extra Comments: By joining below I agree with the aims and rules of WWOOF and accept that WWOOF’s function is limited to supplying the current property list and that WWOOF can not accept responsibility for injury, loss or damage. I understand that WWOOF can not provide help with visas and I am responsible for my own insurance. Once you have submitted this form you will receive an email containing all your WWOOF Volunteers membership information.