2017 VCI Wine Entry Form

(* indicates required field)

Check if this is a correction of a prior entry
  
ENTERED BY, and
Medal Mailing Address:		 
First name*
Last name*
Street Address*
City*
State/Province*
Postal code*
Country*
Telephone
Fax
Email*
Producer's website
  
Atlanta Georgia Wholesaler
or Distributor (if any)
  
Local wine press contact (Optional) 
Name
Organization
Email
  
FROM THE LABEL: 
Winery*
Vintage* (eg. 2014, N/V)
Country* (eg. France, USA)
State/Appellation/Province (eg. Bordeaux, California)
Region (eg. Haut-Medoc, Sonoma)
Village/AVA/Valley (eg. Margaux, Dry Creek)
For the above, please indicate the
most specific designation applicable.
Name of wine*
Vineyard designation (if any)
What is the Varietal, Blend, or Fruit?
Please click here if Meritage  
  
ADDITIONAL INFORMATION FOR CLASSIFICATION 
Entry Category*
Approximate Retail Price (USD)*$
Residual Sugar (If Known) %
Vinifera Non-Vinifera Other than grape  (specify)
Alcohol%
Additional Comments, Other Technical Data, Special Instructions. Please keep this to a single line. 
 
Please do not publicize awards below SILVER  
I certify that this wine is has been will be commercially available.*