New Member Application

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Eola Amity Hills Winegrowers Association New Membership Application Form

Email *

Business Name *

What type of membership are you interested in? *

Your Name *

Your Email Address *

Winery - how many cases do you produce? *

0 - 1,000 ($210 annually)

1,001 - 5,000 ($300 annually)

More than 5,001 ($400 annually)

I am not a winery

Vineyard - how many acres do you have planted? *

0-5 acres ($190 annually)

5.01 acres to 20 acres ($275 annually)

More than 20.01 acres ($375 annually)

I do not have a vineyard

Associate *

Hospitality ($210 Annually)

Service ($210 Annually)

Winery ($210 Annually)

I am not an associate, I am a winery or vineyard

Business Physical Address (to confirm location within AVA) *

Business Mailing Address

(write "same" if mailing is the same as physical address)

Name(s) and email address(es) to receive electronic QuickBooks invoicing emails *

Names and email addresses of employees (besides yourself) you'd like to add to our MailChimp newsletter distribution list

Please Provide Social Media Handles & Website

A copy of your responses will be emailed to the address you provided.

Submit

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