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Family Winemakers Application
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Type of membership: Wine Producer or Vineyard
Organization Profile
*Name of Organization:
Salutation:
*First Name:
Middle Name:
*Last Name:
Winery or vineyard physical address
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*City:
*State:
State:
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Summary of Organization
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California Senator
California Senate District
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California Assembly District
Administration Profile
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Click on the button to clear your Administration Profile or copy your Organization Profile.
Salutation:
*First Name:
Middle Name:
*Last Name:
*Street:
*City:
*State:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip:
*Phone:
Fax:
(### - ### - ####)
Shipping
(Optional) If you have permits by state, you may check the appropriate state for display on the Buying CA Wine map and enter a permit expiration date.
State
Permit expires on:
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Alaska
Arizona
California
Colorado
Connecticut
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oregon
Rhode Island
South Carolina
Tennessee
Texas
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Membership Information
Issues of Concern
*I am interested in serving on the Legislative Committee
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No
*I am interested in serving on the Tasting Planning Committee
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No
*I am interested in serving on the Membership Committee
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No
*Number of cases sold last year:
My case sales are 5,000 or less -- (min. $250)
My case sales are greater than 5,000
*Direct Shipping Match: (
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Direct Shipping Match
The Direct Shipping Match is a voluntary contribution by members that allows FWC to continue pursuing reform of state laws that prohibit or inhibit direct-to-consumer wine sales. The FWC Board strongly encourages a contribution, which is matched by the association from its reserve funds. The suggested amount is $25, but you may lower or increase the contribution. The field must contain a number, even a zero.
*FWC PAC: (
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FWC Political Action Committee
The FWC Political Action Committee is a voluntary contribution by members that allows the association to elect candidates and support legislators that understand issues of concern to FWC. The 2013 election is over and new lawmakers are in Sacramento. We need to build relationships to help education them on wine industry issues and seek reelection in 2014. The FWC Board strongly encourages a contribution to help in 2013. The suggested amount is $50, but you can increase or lower the contribution. The field must contain a number, even if it is zero.
Please note that under Federal Law 35% of your dues payment for 2013 is not tax deductible as a business expense.
Total Dues:
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05/21/2013
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