Please complete this form for each WWOOF Book sold.
WWOOF Book Number:
Use agents email address if WWOOFer does not have one please.
Australian mobile phone number:
If WWOOFer does not have a mobile OR email, please enter home contact details in comments.
Country of Origin: *
Identification Details: Passport/Drivers
Licence Number: *
Membership start date*: *
* WWOOF membership & insurance cover is for 1 year from this date. It cannot be backdated to before the date of sale.
(If the sale date is not today please put "Sale date --/--/20--" in comments. )
AGENT CONTACT DETAILS
Store Name: *
Agent Location (Suburb/Town): *
Sales person name & telephone: *
Sales person email: *
* required fields