Your Wine Profile Form
 Please take a few minutes to fill out your FREE wine profile.

You are under no obligation to purchase any of our wines or coffee.
The information you submit will remain private and is only used to
help customize the wines we do offer you through our site and informative emails.

Any Questions? Please contact us using our online form.



Name
Address
City
State/Province
Zip Code
Country
Home Phone
Business Phone
Cell Phone
E-mail
Required!
What is your level of Wine Interest:
COLLECT WINE WINE ENTHUSIAST

How many bottles are generally in your cellar?
 What percentage are from California?
 What percentage are from France?
 What percentage are from other wine regions?
 What percentage are Red Wines?
 What percentage are White Wines?

WINE PREFERENCES
Please indicate your First, Second, and Third choices for RED WINES
Your First Choice Your Second Choice Your Third Choice
Other(Specify)

WINE PREFERENCES
Please indicate your First, Second, and Third choices for White WINES
Your First Choice Your Second Choice Your Third Choice
Other(Specify)


Please describe your idea of a great red wine, ie. big, bold,
forward fruit, soft,elegant,balanced, etc.		 Please describe your idea of a great white wine, ie. austere,buttery,
oaky,tropical,elegant,balanced, etc.
Please list your all time favorite wines and your
latest discoveries!		 Please list what percentage of your wine consumption
is paired with food. Any favorites?

Are you interested in wine and
food pairing recipes?
YES NO 		Have you visited the California
Wine Country?
YES NO 		Are you planning a visit to
the California Wine Country?
YES NO

If you are visiting, when are you coming?
 If you are visiting, would
you like me to set you up with some of the small
hands-on wineries for tasting, tour, and V.I.P. treatment?
YES NO 		How many bottles of wine do you open in an average
month, for personal use and entertaining?

For dinner and other everyday use what is your comfort price range: From/To: For Special Occasions: From/To:

Please describe your hobbies and interests here.
Golf, flyfishing, bicycling, etc.

What would you like more information on?
THANK YOU FOR YOUR TIME!
I look forward to being "your friend in the Wine Country!"