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IWAJ Membership Form
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Name
*
First
Last
Your name will appear on your badge
Email
*
Are you over 20 years?
*
Yes
No
The legal age of alcohol consumption is 20 years
Whiskey Preference
*
Single Malt
Blended
Single Grain
Bourbon
Scotch
Irish
I drink it all
Your Age Group
*
20-35
36-50
51 or above
Please select your age group
Postal Address
*
Please enter your full postal address. You will receive gifts on this address.
Are you member of any other whiskey association?
Yes
No
If you answered 'yes' for previous field, please enter the name of whiskey association.
Please enter your Date of Birth
*
Please enter in the format dd-mm-yyyy. For example: 03-11-1980
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