Are you a new or renewing member? New _____ Renewing _____
Annual dues are payable January 1st

Type of membership:
Full (grower or vintner) VOTING
Dues are a minimum of $50 per year. If you sell grapes or wine
then the dues are 0.10 of 1% of your gross annual sales.

Associate NONVOTING
$25 per year

Full voting membership is open to any legal entity (i.e., sole proprietorship,
partnership or corporation) located in Illinois which engages in the bottling,
blending and/or production of wine (vintner) and/or the growing of grapes
or fruit from which wine is made (grower).

Vineyard or winery name _____________________________________

County __________________________________________________

Individual name(s) __________________________________________

Address _________________________________________________

City _________________________ State _____ Zip ______________

Phone _______________________ FAX _______________________

E-mail _______________________

Do you grow grapes or other fruit for wine production?

Yes _______ No _______

If Yes, type of grape or fruit (number of plants or acres)

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_____________________ ___________________

What is your winemaking status?

Bonded winery _______ Amateur _______

If you do not raise grapes or make wine how are you involved in the industry?

______________________________________________________

______________________________________________________

______________________________________________________

Please send this application along with dues to

IGGVA
William W. McCartney, Executive Secretary
R.R. 3, Box 3159
Pittsfield, IL 62363