Application Form



			The Vancouver American WineSociety PO Box 907 Stn Bentall Ctr, Vancouver, British Columbia, V6C 2N7
		Your Name(s): ........................................................... ............................................. Telephone: (Home).............................. (Business) ........................... Street:.................................................................................. City: .............................................. Province: ........................... Postal Code:................ Email Address ............................................................ Please check how you would like to receive correspondance from the wine society. Mail (___) .....Email (___) Please select an option and enclose a cheque for membership expenses: New Membership: $50.00 Renewal Membership: $50.00

		Please print out the Membership Application, fill it in and mail it along with your cheque for the appropriate amount of $50.