Date You Would Like to Attend (Must select a Wednesday only) - If you would like to attend on a different day, please call us and we'll do our best to accommodate. *
MM
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DD
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YYYY
Time You Would Like to Attend (Between 4-7) *
Time
:
AM
PM
Email Address *
Your answer
Phone Number *
Your answer
Number of Guests *
Your answer
Names of additional guests attending. If unsure answer NA. *
Your answer
Clear selection
How did you discover Wine Wednesday at FLAVOR? *
If "Other," please describe:
Your answer
Is this a special occasion? If so please describe! If not, answer No. *