What is the name of the person you are nominating?
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(First Last)
What is their Job Title and Company Name or Association Name?
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(Job Title / Company Name)
What is the type of work this person does?
*
Associations/Education
Broker
Consulting
Distribution
DTC Sales/Marketing
Human Resources
Importing
Media
Purchasing/Finance
Restaurants/Wine Bar
Retail
Supplier of Industry Products and Services
Trade Sales/Marketing
Viticulture
Winemaking
Other
Where is this person based?
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California
Pacific Northwest (OR, WA, ID, AK)
Northeast (CT, DE, MA, ME, NH, NJ, NY, PA, RI, VT)
Great Lakes (IL, IN, MI, OH, WI)
Southeast (AL, DC, FL, GA, KY, MD, MS, NC, SC, TN, VA,WV)
Southwest (AZ, HI, NV, NM, TX, UT)
The Plains (AR, CO, IA, KS, LA, MN, MS, MT, NE, ND,OK, SD, WY)
Canada
Europe
Australia / New Zealand
South America
South Africa
India
Other
What makes this person a leader in the wine industry? Please provide a short endorsement.
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What is your Full Name?
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(First Last)
What is your E-mail address?
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(sample@email.com)
What is your Job Title / Company Name?
*
(Job Title / Company Name)
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