Name *

First Name

Last Name

Service Requested *

The Tasting

The Perfect Pairing

Date (first choice) *

MM

DD

YYYY

Date (second choice) *

MM

DD

YYYY

Preferred Time *

Type in '00' in Second column

Hour

Minute

Second

AM PM

Where will your event take place? *

*An additional $75 travel fee will be incurred for events located outside of Dallas.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country