ENTRY FORM
Please tick one:
Y / N I work in the City of Darebin
Y / N I live in the City of Darebin
Y / N I study in the City of Darebin
Y / N I attend a Seniors club in the City of Darebin (If so, which one_________________________)
Name_____________________________________________________________________________
Address___________________________________________________________________________
___________________________________________________ P/C____________________________
Phone number______________________________________________________________________
You may bring a friend to help you with the tastings at the showcase.
Lunch will be provided for you and your friend.
Please let us know if you or your friend have any specific dietary requirements: ____________________________________________________________________________________________________________________________________________________________________
Wine / entry information:
Category___________________________________________________________________________
Type______________________________________________________________________________
Vintage/Year_______________________________________________________________________
Tell us about your wine:
This year, you may drop off wine to the venue ahead of the showcase on Friday 17 March between 11am – 4.00pm or bring it with you on the day.
Access for set up on the day:
11.00am – 12.00am
Preston City Hall, 284 Gower Street, Preston.
Car parking will be provided at rear of Council, access via Kelvin Grove.
Please contact Amanda with any queries or questions via email Amanda.Palmer@darebin.vic.gov.au or phone 0401 626 260.