Membership Application

First Member
Last Name:	First Name:	MI:
Second Member
Last Name:	First Name:	MI:
Address:
City:	State	Zip
Phone:
Email:
Heritage Hunt Chapter Annual Membership Cost: $15/Couple $10/Single
Make Checks payable to Heritage Hunt Chapter of the AWS and mail to:
Molly Shoemaker 6001 Upland Meadow Court Gainesville, VA 20155 Ph: (703) 743-1916 Email
Are you already a member of the American Wine Society?
Yes No
If you are not a member of the AWS, please go to http://www.americanwinesociety.org/Membership.aspx and fill out their application. THANK YOU FOR JOINING!!!