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Prospective Member Questionnaire
Please fill out and submit the form below. We will contact you as soon as possible start the process for membership.
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Your Name
(In addition to your formal first name, please indicate in brackets your nickname, abbreviated or preferred first name)
First and Last
*
Your answer
Name of Spouse/Partner
*
Your answer
Your Address
*
Your answer
How Can We Reach You?
We would love to chat with you. How can we get in touch?
Preferred Method of Contact
*
Email
Phone
Your email address
*
Your answer
Phone
*
Your answer
Current Occupation or Position Retired From:
Please elaborate if you were/are involved in the food, wine or hospitality industry.
Current Occupation
*
Your answer
Clubs/Associations:
Please list any memberships you may have in other food or wine organizations, and any positions held with them.
Clubs/Associations
*
Your answer
Personal Interests:
Personal Interests
*
Your answer
Allergies:
Please list allergies
*
Your answer
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