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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:

In order to qualify for Legacy VIP status in 2019 you needed to have made a total of $500 in wine purchases during the 2018 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:

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* 6. Winery #2: (if applicable)

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* 7. Winery #3: (if applicable)

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* 8. Winery #4: (if applicable)

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* 9. Winery #5: (if applicable)

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* 10. Please upload a picture of your receipts.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 11. Please upload additional files if required. 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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Need help? Give us a call at (530)409-8688
You will be notified of your acceptance into the Legacy VIP program by August 2018. If you do not hear from us by then, please email info@eldoradowines.org. 


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