Virginia Chapters of American Wine Society
Guest Application

We would love to have you be our guest. Please complete the form below. 
Chapter officers will contact you to answer your questions and invite you to our meetings.
 
First and Last Name(s):    

First Email Address:

Second Email Address:

Street Address:

Zip Code:

Home Phone:

Work Phone:

Other Phone:

Interest in Attending Chapter Meetings
(Held Monthly):
 Bristow (Bristow)                  - 3rd Sunday, 6:30 p.m.
Heritage Hunt (Gainesville)   - 4th Tuesday, 7:00 p.m.       
John Marshall (Haymarket)  - 2nd Sunday, 6:30 p.m.       
King George (King George)   - 1st Friday, 7:30 p.m.          
Northern Virginia (Fairfax)   - 3rd Friday, 7:30 p.m.           
Southern Palate (Chatham)   - 2nd or 3rd Saturday, 7:00 p.m.
Southside Sippers (Nathalie)  - 2nd Saturday, 7:30 p.m.
American Wine Society National Dues Paid ($57):
 Yes No Unsure
Comment: