Brewery Membership Application

Please fill out the following information to apply for CCBA Membership. Items with an asterisk (*) are required. Once the completed form is submitted, CCBA staff will reach out to the primary contact on next steps. If you have questions while completing, please email louise@californiacraftbeer.com

Brewery & Business Information
Brewery Doing Business As (DBA) Name:*
Reporting Name (If applicable/different from DBA)
ABC License number*
TTB Number*
Physical Address*
Street Address Suite/Bldg/Apt City ZIP Code
Billing Address (If different than physical)
Street Address Suite/Bldg/Apt City ZIP Code
Brewery Phone Number*
Brewery Website*
Brewery social media handle
Upload brewery logo for member listing in a jpeg format
Drop files here or
Brewery Kettle Size in barrels [BBL]*
Previous calendar year's beer production in BBL (If applicable)*
Percentage of Production that is Craft Beer*
Please select your ABC license type*
Date ABC License Received*
Date Format: MM slash DD slash YYYY
Date Brewery opened or expected date*
Date Format: MM slash DD slash YYYY
Brewery Information*
Please check all functions of your brewery that apply
- Tasting Room
- Brewpub
- Production
- Contract Brewer
- Other
Staff Contact Information
Please provide the contact information listed below to ensure the CCBA is reaching out to the correct person at your brewery.
Primary Contact Name*
This contact will receive primary communication and information on industry issues, legislative action, voting for association board members, etc. This should be an owner or principle at your brewery.
First Last
Primary Contact Title*
Primary Contact Email Address*
Billing Contact Name
CCBA's primary outreach for invoices is email, please contact us if other arrangements need to be made.
First Last
Billing Contact Email
Marketing/Social Media Name
Primarily used in communication about our upcoming events.
First Last
Marketing/Social Media Email
Weekly Bulletin Newsletter Subscriptions
Please list any ADDITIONAL staff names and emails that should receive CCBA's Weekly Bulletins, which include regulatory updates, industry news, upcoming meetings & events, new brewery members and more!
Staff #1 name, email, and title:
Staff #2 name, email, and title:
Staff #3 name, email, and title:
Staff #4 name, email, and title:
If you would like to add more staff to the CCBA's weekly bulletin, please send (1) names, (2) emails and (3) titles to louise@californiacraftbeer.com after submitting this application.

Brewery Membership Application

Brewery & Business Information

Staff Contact Information

Weekly Bulletin Newsletter Subscriptions