MKOB Application

MKOB Application
2023 Application for Membership $30 Annual Dues
Club Purpose: To promote the hobby of Homebrewing and enjoy brewing based social activities. Open to non-brewers, beginners and advanced homebrewers. Meetings are at 7:30 p.m. on the third Thursday of each month. Check our website www.mkob.com for meeting place and more information. .
Name

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Home Brewing Experince
Beer Judging Experience Level:
Do you have any special goals, expectations or suggestions?
I Fully Understand That: My participation in the Mystic Krewe of Brew is entirely voluntary and I know that alcoholic beverages are offered at various functions and my consumption of these beverages are strictly voluntary on my part and this consumption may affect my perceptions and reactions. I accept full responsibility for my conduct, behavior and actions, as well as those of my guests, and absolve Mystic Krewe of Brew, and the AHA for responsibility for my conduct, behavior and actions.
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Date*

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Payment Options
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Mailing address:

Mystic Krewe of Brew 182 West Pinewood Drive Slidell, LA 70458

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$31.25... Membership dues $30.00 plus $1.25 processing fee. $31.25

Total $0.00

2023 Application for Membership $30 Annual Dues