Member Information Form

Joining Welcome Traveller is as simple as filling this form in completely, and submitting it electronically.

We require you to fill in ALL fields, but please note that fields with an asterisk will not be available for general viewing.

Basic Information

First Name:		*Gender: Female Male
Spouse's First Name: (optional)		*Gender: Female Male
*Surname:
*email Address:
Re-enter email Address:		(to be sure of address)
Telephone:		(Will never be released, and only used by Welcome Traveller staff to resolve email problems)
Town/City:
Approximate Population:
Province/State:		(only for members in Canada and USA)
Country:
Name of Nearest Big City:		(if your town or city's population is over 50,000, enter it here)
Province/State of Big City:
Country of Big City:
	We are from that city.

What pets are in your home?
Distance to nearest public transportation:
Do you smoke in your home?	no yes
Are laundry facilities available to guests?	no yes
List the languages other than English you speak:
How did you find us? (Please provide name of website or publication.)

Branches to which you wish to belong

Educators	Women
Crafters and Quilters	50 Plus
Runners	General

Restrictions
Check items which you do NOT accept in your home

Small Dogs	Smoking
Large Dogs	Alcohol
Cats	Children under 16 years

Accommodations

Room A:
Single beds for
Double beds for
Floor space for
Guest bathroom is shared private
Wheelchair accessible? no yes
Room B:
Single beds for
Double beds for
Floor space for
Guest bathroom is shared private
Wheelchair accessible? no yes

Introduction

Please write a short text introducing yourself(ves) and your region, and your connection to your stated interests. Write in the third person and exclude surnames, street addresses, email address and any other information that you do not wish to be posted for everybody (members and non-members) to see on our webpage.

EXAMPLE: Harold and Barbara are two retired teachers who live in the town of Tofield, approximately 60 km from Edmonton, Alberta. Their house is on the edge of town, and the neighbours' horses occasionally come to visit. The world-famous Rocky Mountains are only 400 km to the west of Tofield.