The Wine & Food Society of New South Wales                                                                                        
                                      (Founded 1939)      
                                      (A.C.N. 000 648 386)

NEW MEMBER NOMINATION
SURNAME:_______________________GIVEN NAMES:________________________________________
TITLE: (Mr/Dr/Etc) ____________________HONOURS:_____________PREFERRED NAME:______________
DATE OF BIRTH: _______________PARTNERS NAME: (Optional)_______________________________
POSTAL ADDRESS:_______________________________________________________P/CODE:_______
HOME ADDRESS:________________________________________________________P/CODE:_______
OCCUPATION:________________________________EMAIL_____________________________________
TELEPHONE: (BUSINESS)_________________________(HOME)_________________________________
FACSIMILE: (BUSINESS)_________________________(HOME)_________________________________

Some of the Objects of the Society are set out on the reverse of this nomination form. Nominees should read these Objects before completing this form. Membership is sought from those who are prepared to demonstrate an ACTIVE participation in achieving these objects. It must be stressed that the Society is NOT to be considered in the nature of a "Luncheon Club".
Please answer the following questions to indicate your interest in wine and food.
DO YOU CELLAR WINES?: ______________________CELLAR SIZE: (Optional)__________________DOZEN
ARE YOU A MEMBER OF A WINE TASTING GROUP?:_____________________________________________
IF SO, HOW OFTEN DOES IT MEET?:____________________________________________________________
DO YOU ATTEND REGULARLY?:_______________________________________________________________
WHAT ARE YOUR PREFERRED CUISINES?:
WHAT DO YOU COOK? CUISINES:______________________________________________________________
SPECIALTIES:__________________________________________________________
ARE YOU A MEMBER OF ANY OTHER WINE & FOOD SOCIETY?: _____________________________________
IF YES, NAME:______________________________________________YEARS A MEMBER?:__________________
WHAT OFFICES HAVE YOU HELD IN THAT SOCIETY:________________________________________________
ARE THERE ANY OTHER DETAILS YOU WOULD CARE TO PROVIDE TO ENABLE THE COMMITTEE TO FAVOURABLY CONSIDER YOUR NOMINATION?:_____________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

SIGNED:__________________________________________________DATED:_________________________________