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Renewal Form

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The Scotch Malt whisky Society of America

Membership Renewal Form

To renew your membership using this form we must already have your credit card information on file since this is not a secure server. If we don't have your credit card information or if you wish to pay by check, please print this form and either mail it or fax it to us. The annual renewal fee is $60.00 (non-refundable).

Membership #:
Name:
Address:
City: State: Zip:
Home Phone:     Work Phone:
Fax:
Email:
Delivery Address (if different from above)
Name:
Address:
City: State: Zip:
Please enter the last four digits of your credit card for confirmation:
Expiration Date: Month   Year