Event Reservation and Membership Form
To register for an event or to
join the PWS, print this
page (you may need to reduce margins to 1/4",
depending on your printer), complete the
form below, and send the completed form and your check, to:
Pennsylvania Wine Society
PO Box 61723
Harrisburg, PA 17106-1723
Events that are currently available for
reservations are
listed in the top part of the form.
Reservations will be accepted for Sold Out
events until there are at least 5 people on
the Waiting List. To register for an
event, list the attendees, indicate the
number at each level, and enter the event
total.
To join PWS or to renew your annual
membership, complete the bottom part
of the form below. Circle the desired
membership level and enter the dues total.
Current members: Unless your
contact information has changed, please
list only your name(s).
| Event | Attendees Names | Patron | Regular | Non-Member | Total |
|---|
PA Wine Excellence Awards VII 1/18/09 02:55 PM Hilton Harrisburg | | ___ @$25.00 | ___ @$30.00 | ___ @$40.00 | | An Evening of Port 2/26/09 06:55 PM Hilton Harrisburg | | ___ @$55.00 | ___ @$60.00 | ___ @$70.00 | | Hand Picked Selections 3/19/09 06:55 PM Hilton Harrisburg | | ___ @$30.00 | ___ @$35.00 | ___ @$45.00 | | Membership Dues and InformationNew Members: Complete all sections so that we can contact you promptly if necessary. Current Members: Complete your name and information which has changed. | PATRON $85 / $170 | DOUBLE $50 | SINGLE $30 |
| | Check payable to PWS | TOTAL $ |
| | 1st Member: | Alternate Phone: | E-mail: | | 2nd Member: | Alternate Phone: | E-mail: | | Address: | Apt: | | City, State, Zip Code: | Home Phone: |
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