Online Application Form
Current Recommended Donation is £35
* Required to be completed
Your Name*
Your Postal Address*
What country are you from*
Your Daytime Phone Number*
Mobile Phone Number
Fax Number if you have one
Your Email Address*
Please retype your email address*
Year of Birth
Occupation (job etc)
Day Hostess indicates you cannot provide accommodation but are happy to meet and show visitors around
I wish to be listed as: *
Hostess Day Hostess Travelling at present
I live in a Flat House Cottage Other
If none of the above please describe your home
Situated in a City Town Village Suburb Other
If none of the above please describe your location
Nearest City or Town
I live with Husband
Female Partner
How many children under 16 share your home
Religion (if important to you)
Your Mother Tongue
Please list other languages you speak
Use CAPITAL letters if fluent & lower case if not
I would also welcome A member with her husband/partner
A member with her children
I am a Smoker
Non smoker
Non Smoking House
Interests and other relevant information (no need to include travel, people, cultures)*
As an up to date membership list is produced every 4 weeks, if you choose to receive a copy
of the latest directory immediately, it will not include your own membership details.
Alternatively, you can choose to wait 2/3 weeks to be mailed a list which does include your own membership details.
You will be sent a printed version of the directory unless you tick the box below, requesting your directory on CD
Please send my directory immediately
me a directory which includes my details
my directory on CD
I would like to receive future newsletters by email
Name of 5W member who told you about us
Membership Pledge
I understand that the data from my application form will be put on the Women Welcome Women World Wide
computer and that it will be given only to other members of 5W.
I will not allow unauthorised access to my list and I understand that any proceedings arising from
breach of this condition will be governed by UK law.

Women whose first language is not English are advised to obtain a translation of the above
before agreeing to the Pledge and clicking on I WISH TO JOIN 5W to submit this form.
I confirm that I understand and agree to the terms of the Membership Pledge.