*Email

*First Name

*Last Name

*Phone

*Requested Date

*Requested Time Slot 11:00 am
1:00 pm
3:00 pm

*Wine Preference (one bottle per 2 people) 2018 Viognier
2016 Horcrux GSM
2016 Cabernet Sauvignon

*Total Number of Guests 1 2 3 4 5 6

Name of Other Guests

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