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BELFAST WINE TASTING APPLICATION FORM

Complete this form to apply for places at our wine tastings in Belfast.
PERSONAL DETAILS
Title: Gender: M:  F:
First Name(s): Surname:
 
Address 1: Tel (day):
Address 2: Tel (eve):
Address 3: Mobile:
Address 4:    
Address 5:    
Postcode: E-mail:
 
I am over 18 years of age (tick box)
WINE TASTING DETAILS
Which wine tasting are you interested in?

Use the drop down boxes on the left of the form to specify the number of places you want.



Thursday 1st March - 6.45 to 8.30 p.m. - International Grape Varieties - £32.50

Where did you hear about the Wine Education Service?
Please feel free to add any comments:
I would like to receive the Wine Education Service Newsletter (tick box)

Alternatively, please contact Sandy Leckie or Malcolm Franks at:

The Wine Education Service Limited
Vanguard Business Park
Alperton Lane
Greenford
Middlesex
UB6 8AA

Tel: 020 8991 8212 or 8213
e-mail: info@wine-education-service.co.uk



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