LA NUIT EN ROSÉ HAMPTONS JULY 14-15, 2017 REGISTRATION FORM

Main Contact Name *
Main Contact Name
Wines you will present at the event
Are you interested in submitting a wine to be featured at the Wine Pairing Dinner ($1,500 per wine) *
Are you interested in submitting a wine to be featured in the VIP Lounge? *
Please include billing name and billing address
Additional Contact Name
Additional Contact Name
List anyone who should be contacted in regards to your participation in La Nuit en Rosé Hamptons
Anything else you want us to know?