Membership Information You have selected the Lifetime Membership membership level. The price for membership is $5,000.00 now. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here More Information First Name Last Name Mailing Address City State Zip Cell Phone This will only be used by board members for emergency communication Gender Male Female Prefer not to Provide Birth Date: mm/dd/yyyy I have been homebrewing for: Less than 1 year 1-3 years 3-5 years 5-10 years More than 10 years I primarily brew: All Grain Partial Mash Brew in a Bag (BIAB) Extract I make the following types of brews: Beer Cider Mead Wine Love Potions Other (specify below) Hold Ctrl to select multiple Other: How many gallons do you make annually? 0-10 gallons 11-25 gallons 26-50 gallons 51-75 gallons 76-100 gallons More than 100 gallons BJCP Rank None Apprentice Provisional Recognized Certified National Master Grand Master If you are not a BJCP judge, select None How often do you use the ASH discount program at sponsor/partner locations? A few time a year Once a month Once a week More than once a week I don't use the discount program What items would you most like the chance to win in club raffles? Equipment Beer ingredients/kits Educational materials Cleaning/bottling/kegging supplies Brew day at a sponsor/partner location Gift cards to a sponsor/partner location Beer event tickets Swag & tchotchkes (I need more flair!) Other (please specify) Hold Ctrl to select multiple Other: Please list 2-3 topics would you most like to learn about at general meetings this year. My recommendations for the top 3 priorities for ASH Board of Directors are: I agree to the Privacy Policy Check Out With PayPal Processing...