If you’d like to join the Central Coast Home Vintners' Association, or have any questions about our club, please contact Melissa Moseley, our Membership Chair. She can be reached at 818-599-4524 or via email at:
Mmoseley327@gmail.com.
You can also complete and mail the CCHVA Membership Application Form--instructions are included on the form.
2021_membership_form__updated_.docx
CCHVA Membership Application
New Members and Renewals with Information Changes
Member 1
Name:
Phone:
E-mail address:
Current address:
City:
State:
ZIP Code:
Updated Contact Information? YES NO (Please circle)
Member 2 (Same Household as Member 1)
Name:
Phone:
E-mail address:
Updated Contact Information? YES NO (Please circle)
Amount Enclosed:
Comments:
*Important Notes:
E-mail address is REQUIRED as all CCHVA communication is via e-mail only
Annual membership dues are $40.00 (California residents) and $20.00 (out-of-state) for one year membership that includes two people from the same household (Renewals for fiscal year 2/1/21 to 1/31/22 have a one-time discount to $20)
Membership year is February 1st – January/ 31st-/
Members who have not paid dues by February 28th will be dropped from the membership list and
WILL NOT receive future newsletters or club communications
Mail the completed form with annual membership dues to:
Central Coast Home Vintners’ Association
P.O. Box 271
Santa Maria, CA 93456
Mmoseley327@gmail.com.
You can also complete and mail the CCHVA Membership Application Form--instructions are included on the form.
2021_membership_form__updated_.docx
CCHVA Membership Application
New Members and Renewals with Information Changes
Member 1
Name:
Phone:
E-mail address:
Current address:
City:
State:
ZIP Code:
Updated Contact Information? YES NO (Please circle)
Member 2 (Same Household as Member 1)
Name:
Phone:
E-mail address:
Updated Contact Information? YES NO (Please circle)
Amount Enclosed:
Comments:
*Important Notes:
E-mail address is REQUIRED as all CCHVA communication is via e-mail only
Annual membership dues are $40.00 (California residents) and $20.00 (out-of-state) for one year membership that includes two people from the same household (Renewals for fiscal year 2/1/21 to 1/31/22 have a one-time discount to $20)
Membership year is February 1st – January/ 31st-/
Members who have not paid dues by February 28th will be dropped from the membership list and
WILL NOT receive future newsletters or club communications
Mail the completed form with annual membership dues to:
Central Coast Home Vintners’ Association
P.O. Box 271
Santa Maria, CA 93456