Membership Application Form

Name:*
Title:
Address:*
Tel. Home:
-
Tel. Office:
-
Mobile:
-
E-mail:*
Fax:
-
Website:
Citizenship:*
Passport No. :
Date of Birth:*
 / 
 / 
Profession :
Employer :
Arrived in Rome:
 / 
 / 
Prior club/association experience:

Family information if applicable:

Spouse's name:
Spouse's Citizenship :
Spouse's Profession:
Spouse's Employer:

Children's names

Child 1:
Child 2:
Child 3:
Child 4:
Age 1:
Age 2:
Age 3:
Age 4:
Best time of day/evening to receive telephone calls:

hereby agree to conduct myself at AWAR events and participate in AWAR electronic mail lists in a manner that reflects favorably on the association. I also agree that personal information regarding other members must not be given to non-members without their consent nor used for unsolicited advertising.

I agree:*
Date:*