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Rings of Gold
2018 Mixer For A Mission
Saturday, November 3, 2018
5:30pm to 8:30pm at The Velo Sports Center, Carson, CA
Proceeds benefit Connie Cycling Foundation Youth Programs
Vintner Form
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Indicates required field
Company Name
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Contact Name
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First
Last
Email
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Phone Number
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Address
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Line 1
Line 2
City
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Wine #1 Description
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Wine #1 QTY
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number of bottles donated
Wine #1 Value (per bottle)
*
Wine #2 Description
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Wine #2 QTY
*
Wine #2 Value (per)
*
Comment
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