original volunteers
getting started -
1-
Name
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Address
......................................................................................................................................................................................................
Post Code
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Telephone-
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E-
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2 YOUR CHOSEN PLACEMENT
a-
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b-
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Chosen placement/s (please tick)
3 PAYMENT METHOD
You can pay by: CHEQUE
Please made payable to ORIGINAL VOLUNTEERS, £195, (one hundred and ninety five pounds only).
4 DECLARATION
Please note that Original Volunteers will hold information you have in accordance with the Data Protection Act.
I have read, understand and agree to the terms and conditions.
Signed Date
........................................................................................................................................................................
Thank you for completing this form. Please return with your payment to:
ORIGINAL VOLUNTEERS, Riverside House, 5 Lovelstaithe, Norwich, NR1 1LW.
Argentina -
Brazil -
Bolivia -
Costa Rica
Ecuador -
Ghana -
Guatemala -
Honduras -
India -
Mexico -
Mexico -
Morocco
South Africa -
Nepal -
Nepal -
Kenya -
Peru -
Thailand
Tanzania -
Please read the following before applying: You can apply for one or more volunteer
placements with this form. The placement fee is payable with your application. All
dates of arrival are available unless otherwise stated on the web site and are offered
on a first-

Fully Protected -
ATOL Protection extends primarily to customers who book and pay in the UK.
