Membership Form

(Please print, complete and mail the following form)

Membership:  $50 per year (per household) - Fees are for the calendar year
New members joining after March 31st pay prorated $5/month
Renewing members please just list name(s) and any changes from previous year

Send check & completed form to:  SWGGA, P O Box 1264, Grass Valley, CA 95945

If you have any questions on membership dues, please email us at: 
info@sierrawinegrape.org

MEMBERSHIP NAME:_________________________________________________________

MAILING ADDRESS:____________________________CITY:_______________ ZIP: _______

VINEYARD/ORG. NAME:_______________________________________________________

VINEYARD ADDRESS: ________________________________________________________

PHONE (Business):________________ (Home):________________FAX: ________________

EMAIL ADDRESS: _______________________________________________

This SWGGA website includes a Buyer’s Guide section listing members who have grapes to sell to (a) wineries and (b) home winemakers.  Please check below if you would like to be listed in either category:

___ I want to be listed to sell my grapes to commercial buyers.  (Attach list of varietals and amounts)

___ I want to be listed to sell my grapes to home winemakers.  (Attach list of varietals and amounts)

SGGA provides a scholarship each year to a worthy student.  If you would like to donate to the SWGGA scholarship fund, please indicate below and include with your membership dues.

___ I would like to donate to the SWGGA scholarship fund.  Enclosed is $_______ to support this worthy cause.

 VINEYARD INFORMATION:

Total acres planted? ____  Year planted? ____  Commercial/Hobby? ___  County:________

Varietals:                              Acres/Plants:           Varietals:                               Acres/Plants: