MARYLAND ALE & LAGER TECHNICIANS (MALT) (form last revised September, 2006) We want YOU as a member! Beginners! Hobbyists! Advanced Brewmasters! All are welcome. We formed in 1994 and have been growing and expanding our club knowledge and activities ever since. We are incorporated in the State of Maryland and have monthly meetings/tastings and a MALT News Letter. Check us out on the web at: http://www. maltclub.org Benefits of membership: Monthly Homebrew tastings and contests Guest speakers and authors Equipment demos Exchange of ideas, techniques and recipes for all levels Club newsletter mailed to your home Club social gatherings and brewery tours Introduction of home brewing to beginners Cost: $18.00 per year or $25.00 for couples (this includes significant others) Be sure to check the newsletter calendar or the web site for event dates. MEMBERSHIP FORM Name: ____________________________________________________________________ Address: __________________________________________________________________ City, State and ZIP+4: ________________________________________________________ Phone: ____________________________________________________________________ Email address: ______________________________________________________________ Years of Homebrewing Experience: Experience: Extract _____ Partial _____ All Grain _____ Preference: Extract _____ Partial _____ All Grain _____ Style of Beer Brewed (check all that apply): Ales ____ Lagers ____ Porter ____ Stout ____ Mead ____ Wheat ____ Lambic ____ Barley Wine ____ Belgian ____ Please pay $18.00 or $25.00 fee to the Club Treasurer at our next meeting. Yearly dues run January to January. Make checks payable to "MALT". I understand that the purpose of membership in MALT is for the exchange of ideas and information about brewing via group activities, seminars and sampling. I understand that it is my responsibility to not exceed the minimum blood alcohol levels recognized by the State of Maryland for driving under the influence and I agree not to do so at any MALT function. I certify that I am at least 21 years old Signature: ________________________________________ Date ________________________