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RRVW Membership Application

 Member Information 
Company Name*

Contact Name & Title*

Phone*

Fax

Email*

Mailing Address

Vineyard / Winery Address

 Vineyard Management Company (if applicable) 
Contact Person

Email

 Custom Crush Facility (if applicable) 
Contact Person

Email

 Membership Type 

Grower Member - $350 base + $4/ton RRV grapes harvestedWinery Member - $350 base + $4/ton RRV grapes crushedAssociate Winery Member - $350 base + $4/ton RRV grapes crushed


Tons of RRV Grapes Grown or Crushed*



 Membership Dues 
Annual (Base) Dues:

$

.00

Dual Membership: (Add $50)

$

.00

Tons of RRVW Fruit x $4/ton

$

.00


Total

$

.00


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