Winery Name *

First Name

Last Name

Winery Representative Attending Cork & Barrel

First Name

Last Name

Winery Rep Phone

(###)

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Primary Contact: Name *

First Name

Last Name

Primary Contact Phone

(###)

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Secondary Contact: Name

First Name

Last Name

Secondary Contact Phone

(###)

###

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How our winery will participate:

Winetasting at Sip and Grand Cru is required. Please check additional ways you would like to participate.

Attend Grand Cru Dinner

Winemaker Dinner (if available)

Grand Cru Dinner Wine Partner

Silent Auction Donation

Live Auction Donation ($2,500+ value)

Welcome Wine / Promotional (12+ bottles)

Magnum For the Parade of Magnums