Restaurant Name (this will be used for your booth sign & collateral at the event):

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* 1. Restaurant Name (this will be used for your booth sign & collateral at the event):

Please provide restaurant contact information:

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* 2. Please provide restaurant contact information:

What county is your business located in?

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* 3. What county is your business located in?

Have you submitted your health permit information to Placer County? 

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* 4. Have you submitted your health permit information to Placer County? 

Please provide your health permit number.

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* 5. Please provide your health permit number.

Are you paired with a winery or brewery?

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* 6. Are you paired with a winery or brewery?

Winery or Brewery you are paired with:

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* 7. Winery or Brewery you are paired with:

Do you want to be formally judged by the committee?

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* 8. Do you want to be formally judged by the committee?

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