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Beer and Cheese 2025
Brewery Response Form
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* Indicates required question
Email
*
Your email
Brewery Name as you like it to appear for the event
Your answer
Mailing Street Address (for checks to be mailed)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Website of brewery
*
Your answer
FEIN (Federal Employment Identification Number, this is a 9-digit number)
*
Your answer
Event Contact Name (First and Last Name)
*
Your answer
Event Contact's Phone Number
*
Your answer
Event Contact's Email Address
*
Your answer
Distributor
Your answer
Premium Tasting (12:00pm-2:00 pm)
*
Yes! I will provide a special beer for the VID
No. Not this year.
A copy of your responses will be emailed to the address you provided.
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