Society of Medical Friends of Wine

Membership dues for Active Members are $225/year for Individual and $295/year for Family (two persons). Members receive priority registration and preferred rates for Society events. Dues help to cover the Society’s 501(c)(3) non-profit organization operating expenses.

Dues may be paid by Zelle using our email address, societyofmedicalfriendsofwine@gmail.com, or by check. For questions and for postal address for mailed checks, please contact Susan Schwartz, Secretary, societyofmedicalfriendsofwine@gmail.com.

Name

Home Address, City, State, Zip Code

Email Address

Cell Phone Number

Home Phone Number

Business Address, City, State, Zip Code

Professional Background, if Applicable

Have you attended a Society of Medical Friends of Wine Event?

Yes
No

Please note approximate date if you have attended an event.

What are your interests in wine?

If you were referred by a Society member, please indicate name.

Photos are taken at events for posting on the Society's email communications and social media, in our newsletters and other publications. Please check whether you authorize your inclusion in published photos.

Yes
No

SMFW Text Application Page.pdf
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Type : pdf

MEMBER APPLICATION FORM