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.)

Date Arrived in U.K.

Please enter your name and your wife, partner or significant other's name.

First Name:   Surname: Nationality:

First Name:   Surname: 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:

Cooking Classes	Wine Tasting	Co-charing a Holiday Event
Moms & Tots	Pub Night	Lunches Out
Day Trips	Mah-jongg	Weekday Hike & Lunch
Days Out	Coffees	Weekend Ramblers
Evenings Out	Book Club	Volunteer Work

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: