Guild Membership Information Form

Date:	________________

Name:	__________________________________________________

Address:	___________________________________________________________

City/State/Zip:	______________________________________________

Email Address:	______________________________________________

Telephone:	_____________________________ Over 21 years of age: YES / NO

I have been brewing for _____ years. I have brewed approximately _____ batches of beer/mead.

I would consider myself a (circle one) : Guild Apprentice Guild Journeyman Guild Brewmaster

What qualifications support your leveling choice circled above?

Why do you want to join our guild?

Where do you see yourself with brewing in 3 years?

The Suncoast Barley Mashers enter homebrew competitions. What are your thoughts about entering beer competitions?

Any additional comments you would like to add:

Thank you for filling out this form. We will be getting back to you soon!

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Invited for trial period: Yes/No Date:

Comments:

Full membership invitation extended: Yes/No Date:

Initial level assigned: ______________

If Guild Apprentice, Mentor name: __________________________