New Member Signup

The annual LAVA dues are $50.00.  To become a LAVA member, fill out the registration form AND click on the Donate button below to pay your dues.

Welcome to LAVA!

Please ONLY complete this for if you are a new member

Date of Membership

I am a new memberYesRenewal members use a different form

Member's First Name *

Member's Last Name *

Member's Phone *

Member's Email Address *

Member's Street Address *

City

State/Province

ZIP / Postal Code

Spouse/Partner Information

Leave blank if not applicable

Spouse/Partner's First Name* If applicable

Spouse/Partner's Last Name* If applicable

Spouse/Partner's Phone*If applicable

Spouse/Partner's Email Address* If applicable

Preferred UsernameUnique name or email that will be used to login to our members only website. A temporary password will be emailed to you within a week.

I have made wine beforeYesNo

I am interested in makingRed winesWhite winesRose winesDessert wines

I am interested in the mentoring programYesNoAn experienced winemaker comes along side of you and helps you in your first year of winemaking

Member who referred you to LAVA* If Applicable

I will be paying my $50.00 dues by *PayPal (online)Check or cash at a meetingCheck by mail

Complete Registration Form

OR

Send a $50.00 check Payable to:LAVA
Attn: Membership Chairperson
P.O. Box 1165
Lodi, CA 95241

Include your name(s), email(s), mailing address, phone number(s).

Membership information is NOT shared outside of active members.  We do not sell our mailing lists or lend lists to anyone or any organization.

Please note that it may take several days to create your account for our website.  If you have not received your login information within 5 days please email us at web@lavawine.org