Our Time Bank Membership Application

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Email *

First Name *

Last Name *

Email *

Address *

Phone number *

Reason for joining *

Services you would like to offer *

Services you would like to receive *

Please tell us a little bit about yourself *

Personal references

By checking the box below, I certify that the information on this form is true and correct to the best of my knowledge. I understand that there is a suggested annual dues donation of $25 (with a sliding scale/pay what you are able). I understand that members of Our Time Bank offer neighborly services to each other; members provide services to the best of their ability and do not guarantee their work. I agree to hold these individuals and Our Time Bank harmless for any work, or injuries to persons or property. I agree that if I use my personal vehicle in rendering volunteer service through Our Time Bank, I will, in accordance with California law, arrange to keep in effect adequate and legal automobile liability insurance covering bodily injury and property damage. I give permission to use photos of myself taken at Our Time Bank events on its website and in other promotional materials.
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