2013 Amateur Wine Entry Form
Geyserville Chamber of Commerce

____I would like to donate my unopened bottle to the Awards Dinner for sharing on Mon, March 11. We hope you attend to join in the experience too!

____I will pickup my wine on March 13th at the Hope Merrill House or make other arrangements.

$8.00 Per Entry (2 bottles each).

Submit this form with your entry fees by 5:00 pm, Saturday, February 2 to:

Bosworth & Sons 21060 Geyserville Ave. Geyserville, CA 95441

________________________________          Winery Label Name (If Applicable)	____________________ Date
______________________________________________          Print Exhibitor's First & Last Name	____________________ Phone
______________________________________________        Mailing Address: Street Address, City, State, Zip	_____________________________________________ Internet Email Address

Category Number	Varietal	Description	Year	Appellation	% Residual Sugar	Entry Fee
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Total # of Entries______     Total Entry Fee Due $__________    Total Amount Paid $________   Check No._______

Please contact: Cindy Finch if questions 707-696-9922, AmateurWineCompetition@gmail.com
Or Ron Scheiber 707-857-1724, info@amateur-wines.com