October 21, 20232023 Fall Winery Application Winery* Contact Name* First Last Email* Phone Number*Winery Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Winery Website & Social Media HandlesPlease Include Handle and Platform, or URL(s)Will you need ice for your wine?* Yes No Will you need a cooler bucket for your wine?* Yes No How many pourer representatives will your winery provide?* If your winery is unable to provide any pourers at the event but is still interested in participating through donation, please let us know and we would be more than happy to provide a pourer on your behalf. Wine Shop Sales (Optional)Name of WineSelling Price of Wine By completing this section of the form, the named Winery hereby agrees to participate in the Old Town Clovis Wine Shop and will provide wine for sale. Winery agrees to pay 25% commission, which can be added to bottle/case prices. Please include the name(s) of the wine and the price it will be sold at. Winery Agreement - Please Read Carefully!!!* My signature below acknowledges that I have read the attached event policies and agree to abide by them.Wine tasting will occur within the shops/businesses of each Participating Merchant, each of whom will possess a One Day ABC Liquor License. Attendees will walk to each Participating Merchant on the streets of Old Town. The ABC License requires that all wine be consumed inside the shops, no wine is allowed on the streets or sidewalks. Winery agrees to provide wine (at least 3 to 4 cases) and a winery representative(s) to pour for event ticket holders and to discuss the virtues of the wines (unless other arrangements have been made below for alternate pouring arrangements). If you plan to sell wine in the Old Town Wine Shop please arrive no later than 3:30pm at the Wine Shop (which will be located on Pollasky near 5th Street) to deliver your wine. Winery representative(s) should arrive at the merchant location no later than 4:30pm to allow setup time and to be ready to pour, starting at 5:00pm. We will contact you two weeks prior to the event with the name, location and contact for the Old Town Merchant with whom you will be paired and final event details.Digital Signature* Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Click here to receive important updates regarding the Fall Wine Walk.