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Shall We Wine Application
Name *
Please Enter First Name Middle Name and Last Name in that order
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Business or Stage Name *
If you do business under a corporate entity or stage name, please provide. If neither, please list "N/A"
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Date of Birth *
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Social Security # *
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Years of experience doing demos *
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In the past 6 months, how many demos have you done? *
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Please list all of your certifications *
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Cell Phone *
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Home Phone *
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Address *
ex. 111 E. First St
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City *
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State *
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Zip *
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Besides English, what other languages are you fluent in? *
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We sometimes need to reimburse you quickly. Do you use Zelle, Paypal, N/A? *
Please provide the email address associated with that account *
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Sometimes we have to take pictures during demos. Will your cell phone allow you to take and send pictures? *
What's your specialty? please indicate: wine, beer, champagne, spirits or all *
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Emergency Contact Name *
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Emergency Contact Phone *
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