DRAFT Membership Database Form

Please help us keep our records in order by completing this form. The information contained on this form will be used for club purposes only and will not be shared with any other group.

Basic Information

Name: Birthday: DRAFT member since?:
Street Address:
City, State, Zip:
Home Phone: Work Phone: Preference: (choose one)

Wired Information

E-mail address:
Can we print it in a club directory? (check for yes)
Note: Portable Document Format (PDF) documents can be read with Adobe Acrobat Reader (it's free and works on almost any kind of computer). PDF files can be read online or printed. This newsletter is produced in full color, which can only be seen when obtaining the PDF files. The PDF versions of the newsletter are about 700K in size. The electronic versions are always sent out faster than the paper versions.

Will you take the newsletter electronically? (choose one)

If you elect to receive the newsletter electronically, would you like us to stop mailing you a paper copy? (check for yes)
(if YES, this would save the club money which could be spent on other member activities)

Brewing Information

Are you a brewer? (Check for yes) If YES, for how long?
Level of experience: (choose one, self-assessment)
Type of beers made (typically): (choose one)
Favorite styles to make:
Have you ever entered a contest? (check for yes) Have you ever won a ribbon? (check for yes)
Are you a BJCP beer judge? (check for yes) If YES, what level? (choose one)
Are you interested in taking a BJCP study class if we offer one? (check for yes)

If you have any problems using this service, contact Steve Zabarnick.