HVWGA Registration Form Name(s):______________________________________________________________________________________ Vineyard/WineryName:__________________________________________________________________________ Mailing Address:_______________________________________________________________________________ ____________________________________________________________________________________________ Tel. # ____________________ Fax # ____________________ e-mail: ________________________________ List my company & contact info on the HVWGA Member Listing: YES NO County:____________________________________________ Please include a $35.00/person check made out to HVWGA and mail it with completed form to: Hudson Valley Wine & Grape Association (HVWGA) 19 Bentley Lane Clinton Corners, New York 12514 FOR Office Use: Date:___________________ Payment Info:________________________________________________________ Member Listing Approval forwarded to HVWGA Web Admin (mrpennings@hotmail.com)
HVWGA Registration Form
Name(s):______________________________________________________________________________________
Vineyard/WineryName:__________________________________________________________________________
Mailing Address:_______________________________________________________________________________
____________________________________________________________________________________________
Tel. # ____________________ Fax # ____________________ e-mail: ________________________________
List my company & contact info on the HVWGA Member Listing: YES NO
County:____________________________________________
Please include a $35.00/person check made out to HVWGA and mail it with completed form to:
Hudson Valley Wine & Grape Association (HVWGA)
19 Bentley Lane Clinton Corners, New York 12514
FOR Office Use:
Date:___________________ Payment Info:________________________________________________________
Member Listing Approval forwarded to HVWGA Web Admin (mrpennings@hotmail.com)