CENTRAL COAST HOME VINTNERS’ ASSOCIATION

P.O. Box 271

Santa Maria, CA 93456

USE THE FORMS BELOW TO REGISTER FOR EVENTS

CENTRAL COAST HOME VINTNERS’ ASSOCIATION

P.O. Box 271

Santa Maria, CA  93456

PLEASE COMPLETE FORM AND MAIL ALONG WITH CHECK

MADE PAYABLE TO CCHVA AT ABOVE ADDRESS

_____  # Persons @ $15/person

_____  # Persons @ $7.50/person

Member(s) Name ______________________________________

Address     ______________________________________

Phone #     ______________________________________

E-Mail   ______________________________________

$ Enclosed  ______________________________________

Would you like to volunteer at the event you are attending?

BBQ help_________________________________________

Serving___________________________________________

Set up____________________________________________

Clean up__________________________________________

Are you interested in being a board member?_____________

What events do you like to attend?  What is your favorite?  Any changes you would like to see?  Anything we can do to improve our club?  All suggestions welcome.

COMMENTS:  ________________________________________________

For Joining the CCHVA Club

PLEASE PRINT COPY OF FORM AND MAIL ALONG WITH CHECK

MADE PAYABLE TO CCHVA AT ABOVE ADDRESS

New Member Dues _____ $30 (one year membership, includes two people)

(Membership dues received after April 15 are considered new memberships)

Annual Dues (Renewing Members) _____ $20

Payable January 1

Name(s) ___________________________________________

Address ___________________________________________

Phone # ___________________________________________

E-Mail ___________________________________________

Total Amount Enclosed ________________________________

COMMENTS: __________________________________________

______________________________________________________