EL DORADO
 WINE GRAPE GROWERS ASSOCIATION 

 2010 Membership Renewal

MEMBERSHIP DUES

The annual membership dues for producing vineyards are $90.00. This includes a listing on our website. Membership dues for vineyards not yet in production are $57.50 annually. All members are entitled to a general listing on our web site. Ten dollars of your annual membership dues is donated to the American Vineyard Foundation in support of their research projects on diseases of the grapevine.

Membership Dues Enclosed:

o     Producing Vineyard (includes listing on our web site) ..................................................... $90.00

      o     I have verified my listing on the website www.eldoradograpes.com and have included any changes with this form

o     Non-Producing Vineyard ............................................................................................. $57.50

MEMBER INFORMATION

Member Name(s)                                                                                                                                

Company Name                                                                                                                                  

Mailing Address                                                                                                                                  

City                                                                        State                               Zip                                 

Phone                                                                     Fax                                                                       

Email                                                                                                                                                   

Web Site                                                                                                                                             

Preferred method of receipt of member notices:     o  US Mail     o Email     o  Fax

VINEYARD INFORMATION

Vineyard Name                                                                                                                                   

Vineyard Address                                                                                                                                

City                                                                        State                               Zip                                 

WINEGRAPE VARIETY                                       ROOTSTOCK                 ACRES           YEAR PLANTED          BEARING

                                                                                                                                             Y     N

                                                                                                                                             Y     N

                                                                                                                                             Y     N

                                                                                                                                             Y     N

                                                                                                                                             Y     N

                                                                                                                                             Y     N

Mail this form with your check to:
El Dorado Winegrape Growers Association                   Phone: (530) 333-4906
P. O. Box 2121                                                               Email: wheezlwine@hotmail.com
Placerville, CA 95667-2121
                                         Web Site: http://www.eldoradograpes.com