Enrollment Form


Insructions:
  • Type in the requested information.
  • Print the completed form.
  • Mail your enrollment with payment,
    either cheque or VISA information to the SAWS office:
South African Wine Society (SAWS)
Box 37085
6478 Yonge Street
Willowdale, Ontario
M2M 4J0
Canada


Yes! Please enroll me as a new member.
 
First and Last Name:
Spouse/Partner's Name:
Address Line 1:
Address Line 2:
City:
Postal Code:
Home Phone:
Business Phone:
E-mail Address:
VISA number (if applicable):
Expiry Date:
Name as on Card:
 

Please check the membership you would like to purchase:
April 1 - Sept 30 (Full Rate)
Oct 1 - Jan 31 - Half price)
Feb 1 - March 31 - Full rate includes remainder of current year plus next year)
***All NEW memberships are assessed a one-time $25.00 cellar stocking fee.
***By signing up for a Membership with SAWS, you automatically agree to the terms and conditions of the following WAIVER
WAIVER, RELEASE AND INDEMNITY I am participating in South African Wine Society (SAWS) events voluntarily and at my own risk. In consideration of my participation, I, for myself, my heirs, executors, administrators and assigns, hereby waive, release and forever discharge and indemnify SAWS, its organizers, volunteers, members, and the Executive Committee from any and all damages, claims and actions for any loss, liability, claim, action, costs, expenses, physical or emotional injury or death to me arising out of my participation in SAWS functions or on society grounds, howsoever caused. I am aware that SAWS does not carry any liability insurance. This waiver applies to all guests who I may bring and for whom I accept complete responsibility. I also certify that I, and my guests are 19 years of age or older. I also consent to the use of my/our name(s) and/or likeness through photographs or other images which SAWS may post on its website or other media. We/I have read and understand and agree to this waiver.
    Signature of Applicant 1:
    Signature of Applicant 2:
    


VISA Credit Card payment may be choosen for payment of Membership fees. Otherwise a cheque payable to "The South African Wine Society" is required. If VISA payment is elected, event registration and subsequent membership renewal can be handled securely by phone or by return email. All charges will appear on their VISA statements under Bokke Wines.

We look forward to welcoming you as a member of the South Africian Wine Society.

For more information about the South African Wine Society in Canada, please contact us at 905-762-9161 or email us at SAWSinfo@rogers.com.


© 2005 SOUTH AFRICAN WINE SOCIETY