Keely's Wine Routes Group Tour Application
Please fill out the form below if you are interested in booking a group tour and we will reach out to confirm availability and pricing!
Title
Please Select
Mr
Mrs
Ms
Contact Name
*
First Name
Last Name
Birth date
*
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Month
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Day
Year
Date
E-mail
*
example@example.com
Phone number
*
Format: (000) 000-0000.
Please select the Group Tour that you are interested in booking
*
Southern Portugal Winemakers Tour April 18th-26th, 2026 SOLD OUT!! WAITLIST ONLY
Southern Portugal Winemakers Tour May 2nd-9th, 2026 (SOLD OUT!! WAITLIST ONLY)
How many people will be in your group (including yourself)?
*
Please Select
1
2
3
4
5
6
7
8
Group Member 2
First Name
Last Name
Group Member 3
First Name
Last Name
Group Member 4
First Name
Last Name
Group Member 5
First Name
Last Name
Group Member 6
First Name
Last Name
Group Member 7
First Name
Last Name
Would you like to receive a travel insurance quote?
*
Please Select
Yes
No
Please list any food restrictions/allergies:
Please note if you or any person in your group have a physical limitation that we should be aware of:
Any other requests or notes?
How did you hear about this tour?
Foxcroft Wine Co. (A Charlotte Location)
Foxcroft Wine Co. (Greenville)
Foxcroft Wine Co. (Raleigh)
Travel with Antonio
Social Media
Word of Mouth
Emergency Contact (Name, phone number, and email address)
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