Application form for the Women and Wine association

Name *

Surname *

Company name *

E-mail address *

Born date *

Phone number *

City *

Persons recommending

Briefly explain why you want to join the Women and Wine association.

What wine / sommelier course you finished

Describe how you are connected to wine.

Check what you could do in the Association:

I agree to the publication of my membership in social media managed by the Women and Wine association.

I agree to publish my eventual photos from events organized by Women and Wine on social media managed by the Association.

I agree to receive e-mails from the Association's account

Annual membership fee PLN 350.
Payment account Alior Bank 33 2490 0005 0000 4530 1457 5872