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ROCHESTER AREA HOME WINEMAKERS

MEMBERSHIP APPLICATION

(PLEASE PRINT)

NAME: __________________________________________________________________________________

ADDRESS: ______________________________________________________________________________

CITY: ___________________________________________________________________________________

STATE: _______________________________________ZIP: _____________________________________

PHONE: _________________________________________________________________________________

E-MAIL: _________________________________________________________________________________

Please send your annual dues of $15.00, with $5.00 for each additional household member, over 21 years of age, to:

ROCHESTER AREA HOME WINEMAKERS

C/O Paul Meyers

15 Bardney Circle

Fairport NY 14450-5969

WINEMAKING EXPERIENCE:

BEGINNER: ______________(never made wine before)

NOVICE: ______________ ___(have made wine at least one time)

AMATEUR: _______________(have made wine 2-3 years)

ACCOMPLISHED: ________(have made wine 4 or more years)

EXPERT: _________________(have ribbons or metals hanging on the wall)

OTHER HOBBIES OR INTERESTS:

____________________________________________________________________________