Sip & Sample Survey Congratulations on booking your Sip & Sample! We are so excited to support you in growing your business this summer by hosting an event. Please fill out the following information to officially register your Sip & Sample. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Member ID Question Title * 4. Email address Question Title * 5. Phone Number Question Title * 6. Sip & Sample Date (08/21/2018-10/31/2018) Question Title * 7. Sip & Sample Time (EST) Question Title * 8. Sip & Sample Host name Question Title * 9. Sip & Sample Host ID Number (if applicable) Question Title * 10. Sip & Sample Physical Address (Please provide City and State with address) Question Title * 11. Sip & Sample Attendance goal Thank you for submitting your Sip & Sample information! Only complete submissions will receive a $20 product coupon. Coupon expires 8/31/18. Done