Customer Information
Name:
Mailing Address:
City:
 State:
 Zip:
Would you be interested in joining a Wine Club?
 Yes
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Which wine do you enjoy most:
 Sweet
 Semi-Sweet
 Semi-Dry
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 WINERY!
Comments:
10580 Wellen Road
Aviston, IL 62216
Call (618) 228-9111
For all your wine emergencies
1-888-966-WINE
Phone: 618-228-9111
Fax: 618-228-9024
email: hiddenlakewinery@yahoo.com