Application Form
Indicate requested Category
(refer to Membership Page for relevant
qualification requirements).
O
FULL MEMBERSHIP
(Please circle years experience)
1-3 years 4-6 years 7> years
O
ASSOCIATE MEMBERSHIP
Please complete this form (2 forms
for couples), and post it with payment details to become a
registered member. In the interests of Internet security we
currently do not accept online transactions.
For your security one of our
members will call you for your payment details, OR you can
print this form and send it with a cheque or money order to:
THE SECRETARY WSG
PO Box 2127 BAYSWATER Vic 3153
SURNAME:
GIVEN NAMES:
CURRENT OCCUPATION:
ADDRESS (Home):
P/Code:
ADDRESS (For Correspondence):
P/Code:
HOME PHONE:
FAX:
BUSINESS PHONE:
FAX:
MOBILE PHONE:
E-MAIL:
PLEDGE:
If accepted, I agree to be bound by the rules of the
Constitution, and uphold the ideals of the Wine Service
Guild of Australia. (Victorian Branch Incorporated).
Signature
Date:
Please find enclosed a cheque or
postal order, OR call me for my credit card details
NB $60.00 for Full or Associate
membership, and $100 for Couples Membership (this includes a
one-off registration fee of $10 per person),
Postal Address: PO Box
2127, Bayswater. 3153
Wine Guild
The Wine Service Guild is a non-profit
organisation and has vacancies for membership in its two
categories right now!