apply — Marshalltown Wine and Book Club

Marshalltown Application

This form is the first part of the application. The second and final part of completing your application is submitting your resume along with a clear and recent headshot to info@marshalltown.club

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Occupation

Profile URL

Twitter

Profile URL

Instagram

Profile URL

How many books did you read in 2022?

How much wine do you drink monthly?

Would you be interested in a Board Position?

Would you be committed to attending a bi-monthly (every other month) in person programming?

Would you be committed to paying the $40 monthly membership fee for at least a year?

Please include a short bio below. This can include your passions, interests, family, career, etc, to best represent who you are and what you will contribute to our Membership Community.