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Shall We Wine Application
Name *
Please Enter First Name Middle Name and Last Name in that order
Business or Stage Name *
If you do business under a corporate entity or stage name, please provide. If neither, please list "N/A"
Date of Birth *
MM
/
DD
/
YYYY
Social Security # *
Years of experience doing demos *
In the past 6 months, how many demos have you done? *
Please list all of your certifications *
Cell Phone *
Home Phone *
Address *
ex. 111 E. First St
City *
State *
Zip *
Besides English, what other languages are you fluent in? *
We sometimes need to reimburse you quickly. Do you use Zelle, Paypal, N/A? *
Please provide the email address associated with that account *
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 *
Required
Emergency Contact Name *
Emergency Contact Phone *
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