01/18/2018 Dierberg's Beringer & Yellow Tail Sale Event

01/18/2018 Dierberg's Sale Yellow Event
Beringer Wines & Yellow Tail Wines
Name *

First Name Last Name
Dierberg's Store Location *
Number of Total Samples of Yellow Tail Wines Distributed *
Number of Total Bottles of Yellow Tail Wines Sold (Collectively; All Varietals; Est.) *
Number of Total Samples of Beringer Wine Distributed *
Number of Total Bottles of Beringer Wine Sold (Collectively; All Varietals; Est) *
Photo of Sampler w/Their Table Set UP w/All Bottles Ready To Pour *

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Photo of Yellow Tail Special Display ***If None is Present Leave Blank

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Photo of Beringer Special Display***If None is Present Leave Blank

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Contractor Signature *

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01/18/2018 Dierberg's Sale Yellow Event