Customer Information
Name:
Mailing
Address:
City:
State:
Zip:
Would you be interested in joining a Wine Club?
Yes
No
Are you interested in a private label wine?
Yes
No
Sweet
Semi-Sweet
Semi-Dry
Which wine do you enjoy
most
:
Dry
Sparkling
E-mail
Address:
NOTE: Your mailing address will
NOT
be shared, sold, or used for any purpose
other than to keep you informed of SPECIALS and EVENTS at HIDDEN LAKE WINER
Y
!
Comments:
Phone: 618-228-9111
Fax: 618-228-9024
email: hiddenlakewinery@yahoo.com
