PWD Form — Great Chefs & Wineries

PARTICIPATION CONFIRMATION FORM

QUESTIONS? Please contact Jen Hudson

Marketing & Development Manager, Lifehouse

WINERY NAME

WINEMAKER NAME

First Name

Last Name

CONTACT NAME

First Name

Last Name

CONTACT TITLE

Email Address

EVENT STAFF

Please list names of representatives who will be attending the event.

WE WILL BE POURING THE FOLLOWING SELECTIONS:

Donation to the Silent Auction

Examples: Bottle of wine & or tasting experience at your winery.

We require a tub of ice at the event to chill wine.

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