Legacy VIP Application for 2020

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* 1. First & Last Name of Purchaser:

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* 2. Email:

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* 3. Phone Number:

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* 4. Mailing Address:

Street Address:

City

State

ZIP

In order to qualify for Legacy VIP status in 2020 you needed to have made a total of $500 in wine purchases during the 2019 Passport Wine Event. This can be a single purchase at one winery or several purchases at multiple wineries totaling $500. Please fill out the form below with your qualifying sales receipt(s) information.

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* 5. Winery #1:

Winery Name:

Total Amount Spent:

Transaction Number (on receipt):

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* 6. Winery #2: (if applicable)

Winery Name:

Total Amount Spent:

Transaction Number (on receipt):

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* 7. Winery #3: (if applicable)

Winery Name:

Total Amount Spent:

Transaction Number (on receipt):

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* 8. Winery #4: (if applicable)

Winery Name:

Total Amount Spent:

Transaction Number (on receipt):

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* 9. Winery #5: (if applicable)

Winery Name:

Total Amount Spent:

Transaction Number (on receipt):

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* 10. Please upload a picture of your receipts.

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* 11. Please upload additional files if required.

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* 12. Please upload a picture of any additional receipts.

Need help? Give us a call at (530)409-8688

You will be notified of your acceptance into the Legacy VIP program by August 2019. If you do not hear from us by then, please email info@eldoradowines.org.