Print and complete the form below and airmail with your application fee to
Wwoof NZ, PO Box 1172, Nelson, New Zealand
If you are paying by credit card then you can fax the completed form to 0064 3 5449890
| Name(s) | _____________________________________________________ |
| Address for list to be sent | ____________________________________________________ _____________________________________________________ _____________________________________________________ |
| Date of departure from this address: | ____________________________________________________ |
| Permanent home or contact address | _____________________________________________________ ____________________________________________________ _____________________________________________________ |
| Telephone | (____)_________________________________ |
| ______________________________________ | |
| Passport Number | _______________________________________ |
| Occupation | _____________________________________________________ _____________________________________________________ |
| Reasons for joining Wwoof | _____________________________________________________ _____________________________________________________ |
| Any special skills | _____________________________________________________ _____________________________________________________ |
| If you wish to pay by credit card please complete the following details | |
| Card Holder's Name | _______________________________________ |
| Card Number | _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |
| Expiry Date | ____/_____ |
| 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 Signed ___________________________ Date ____________________ | |
