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Name
Date
Mailing Address
City, State & Zip
Phone
Email
Vineyard Name (if applicable)
Vineyard Location : County
State
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Complete this section if you currently cultivate grapevines
I have approx ______ vines. These include: _____ # of Wine
Grapes _____# of Table Grapes
The grapes are grown for:  Home use
Pick your
own Ready
picked
Commercial
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Complete this section if you DO NOT cultivate grapevines
My interest in or affiliation with grape growing is:
General Interest Wine
drinker or maker
Future Winery
Future Grape Grower
Extension Service Library
University
Dealer (specify)____________________________ Other
(specify)_________________________
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The AWGA Membership Directory will be published annually in the
Newsletter.
Please specify the information that you
wish included in The Directory.
Include All Info Omit Phone
Omit Address
Omit Email Address
Omit All
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Annual membership dues are $75 for Commercial Members
$35 for Noncommercial Members and $25 for Associate Members
(make check payable to AWGA)
Please mail to:
ALABAMA WINERIES AND GRAPE
GROWERS ASSOCIATION
Attn: Jene Beadles, PMB 117 1926 Hwy 31 So.
Birmingham, AL 35244-1141
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