Name

Phone

Address

City, State, Zip

Membership #

Email Address

Date Requested

Time Requested Time Requested10:00 AM11:00 AM12:00 PM1:00 PM2:00 PM3:00 PM

Tasting Experience Tasting ExperiencePrivate TastingVineyard SelectionCastle SelectionTasting for 6 or More

Number in Party

What is the purpose of your visit? What is the purpose of your visit? Pleasure trip Celebrate special occasion Wine education

How did you hear about us?

What are your favorite varietals? What are your favorite varietals? Cabernet Sauvignon Cabernet Franc Carignane Grenache Malbec Merlot Mourvedre Petite Sirah Petit Verdot Pinot Noir Syrah Zinfandel Rhone Blends Bordeaux Blends Chardonnay Rose Sauvignon Blanc Viognier

Where do you typically purchase your wine? Where do you typically purchase your wine? Grocery store Wine shop Wineries direct Wine club Online Other

Which wine clubs do you belong to? Which wine clubs do you belong to? 2 bottles 6 bottles Case Multiple cases None

What is your comfortable price point per bottle?

How can we make your experience special?