Lincoln County Grape Growers Association Application
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Enjoy the exclusive discounts, tools and educational opportunities
that come with being a Lincoln County Grape Growers Association Member.
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| Name:________________________________________________________________________ |
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Address:______________________________________________________________________ |
City:______________________________ |
State:_____________ |
Zip:_________________ |
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Phone: (Primary)
______________________________________ |
Phone: (Secondary)
_______________________________________ |
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E-mail:________________________________
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Web Site:______________________________
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Name of Venture: ______________________________________________________________ |
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Membership Category: (circle one)
Regular 1 yr. $60.00 or 6
mos. $30.00
Select
Membership Type: (circle one)
Grower or Winery
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Mail completed form with
appropriate dues made payable to LCGGA to:
LCGGA
P.O. Box 33
Sparks, Ok 74869 |
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