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North Texas Homebrewers Association

Membership Application/Renewal


March 1 - December 31, Membership ends May 31 next year.
Dues are $30.00 for a Single/Family membership.

January 1 - February 28/29, Membership ends May 31 of this year.
Dues are $15.00 for a Single/Family membership.

To receive your membership card, bring this completed form and dues (check or cash) to a club meeting or event. You may also receive a membership card at either, Homebrew Headquarters or The Wine Maker's Toy Store/Dallas Homebrew.

Member Name:
Spouse/Partner Name:
Street Address:
Apartment Number:
City:
State:
Zip:
Phone:
Member Email:
Spouse/Partner Email:
 Your email address is required to receive the club newsletter, "Livin' the Brews". If you do not wish to receive announcements and newsletters from the club, you may opt out by checking the box below. 
 
Exclude me from email announcements and newsletters from the club: 
 
By signing this form, I fully understand and accept the following statement:
My participation in this association is entirely voluntary. I know that participation in the club activities may involve the consumption of alcoholic beverages and this may affect my perception, actions and reactions. I accept responsibility for my conduct, behavior and actions. I absolve and indemify the North Texas Homebrewers Association, its officers and members of responsibility for my conduct.
 
 
Signature:______________________________________________________

Date:__________________________________________________________

NTHBA only
Received $:_________
Date processed:_________
Expiration year:_________

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