Prospective Member Questionnaire

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Please fill out and submit the form below. We will contact you as soon as possible start the process for membership.

Your Name

(In addition to your formal first name, please indicate in brackets your nickname, abbreviated or preferred first name)

First and Last *

Name of Spouse/Partner *

Your Address *

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact *

Phone

Your email address *

Phone *

Current Occupation or Position Retired From:

Please elaborate if you were/are involved in the food, wine or hospitality industry.

Current Occupation *

Clubs/Associations:

Please list any memberships you may have in other food or wine organizations, and any positions held with them.

Clubs/Associations *

Personal Interests:

Personal Interests *

Allergies:

Please list allergies *

Submit

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