VCBG Membership Form

Virginia Craft Brewers Guild Membership Form

To join please complete the following information:
Type of membership:

Associate Member - $735Brewery in planning - $500-1000 Barrels - $250Over 1,000 Barrels
Enter last years # of barrels produced*
Company:*
Company Address:*

Mailing Address:

Street Address if different than above:

CityState

Zip Code
Year Established in Virginia: *
Number of full time employees: *
Principal Products:
When are the best days/times to contact you?

Monday8-12 AM12-5 PMTuesday8-12 AM12-5 PMWednesday8-12 AM12-5 PMThursday8-12 AM12-5 PMFriday8-12 AM12-5 PM
Principal/Owner:*
Title:
Phone :*
E-mail:*
Brewer Contact:*
Title:
Phone (including extension):*
E-mail:*
Marketing Contact:
Title:
Phone (including extension):
E-mail:
Financial/Accounting Contact:
Title:
Phone :
E-mail:
HR/Operations Contact:
Title:
Phone (including extension):
E-mail:
Quality/Safety Contact:
Title:
Phone (including extension):
E-mail:
Click below link to locate your VA Districts:

Virginia State Legislative Directory
VA Senate District:
VA House District:
U.S. Congressional District:
Please check the areas of interest for your company:*

Group Employee BenefitsBusiness insurance: P&C, Workers comp, etcQuality & Safety Training Certification Program401k Plan optionsEventsAdvocacyOther
Enter Payment Amount:
Investment calculation
Method of payment:*

Credit CardInvoice me

Enter Payment Amount

USD

Applicant's Full Name: *
Date:

MonthDayYear
Investments paid to the Virginia Craft Brewers Guild are not deductible as a charitable contribution.

Effective January 1, 1994, Congress restricted the tax deductibility for certain lobbying costs. We estimate that 30% of your Investment is attributable to non-deductible lobbying costs, and 70% of your investment is deductible as an ordinary and necessary business expense.

FID #: 54-0452521
How did you hear about us?*
Guild member Name and Brewery
Event Name
Social Media
Other
To submit, click the "Join now" button below. THANK YOU!!
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