Please Read: All information is kept for the exclusive use of the ExpatsNW and will not be distributed for commercial purposes or distributed to non-members. After populating the form and clicking send at the bottom of the form you will be forwarded to our secure PayPal™ membership payment site.

(Please populate all fields below.)

Surname:   Date Arrived in U.K.

Wife's Name:   Nationality:

Husband's Name:   Nationality:

Company You Are Working With:

U.K. Home Address:


Home Phone:   Mobile Phone:

Email Address:

Children or Other Family Members Accompanying you to England (not required)

Name	Year Born	School

Please tick here   if you do NOT want your children's names and ages in the member directory.

Arriving from City /State:

Anticipated length of stay:

Please tick the following Expat activities you are interested in:

Dinner Club	Wine Tasting	Co-charing a holiday event
Moms & Tots	Bunco	Expats Who Lunch
Day Trips	Mah-jongg	Ramblers (weekend hikes)
Movie Group	Coffees	Mexican Train Dominoes
Teen Group	Book Club	Craft Nights

If you are interested in an activity not mentioned above, please make a suggestion below. Perhaps you can help us form a new group.

Office Use: