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CONTACT INFO |
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Required. |
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Required. |
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Postal Address |
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Postal Code |
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Delivery Address |
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Required.Invalid format. |
Telephone @ Work |
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Telephone @ Home |
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Fax |
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Mobile Number |
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Will you be ordering wines directly from the cellar? * |
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TELL US MORE ABOUT YOURSELF |
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Birthday |
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Have you ever done a wine course? |
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Do you subscribe to any wine magazines? |
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Wine Magazine
Winelands
Fynproe
Good Taste
Wine Tourism News
Decanter
Wine Spectator
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Do you refer to a magazine or a guide
before you purchase a wine? |
Yes
No
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Do you prefer drinking white or red? |
White
Red
Both
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Do you prefer drinking dry or sweet? |
Dry
Sweet
Both
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Favourite White Cultivar?
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Gewurztraminer
Sauvignon Blanc
Viognier
Pinot Grigio
Chardonnay
Semillon
Chenin Blanc
Riesling
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Favourite Red Cultivar
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Pinotage
Shiraz
Cabernet Sauvignon
Cabernet Franc
Merlot
Malbec
Petit Verdot
Pinot Noir
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Any particular Cultivars you don't like?
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Gewurztraminer
Sauvignon Blanc
Viognier
Pinot Grigio
Chardonnay
Semillon
Chenin Blanc
Riesling
Pinotage
Shiraz
Cabernet Sauvignon
Cabernet Franc
Merlot
Malbec
Petit Verdot
Pinot Noir
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Would you rather drink quantity or quality? |
Quality
Quantity
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How often do you drink wine? |
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Are you interested in learning more about food and wine pairing? |
Yes
No
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Are you interested in learning more about wine & wine making? |
Yes
No
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Would you buy wine as a gift for someone? |
Yes
No
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Enter more information about yourself, or any other comments or questions here |
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Please note that none of the questions in this questionnaire are compulsory; we simply want to learn more about our loyal wine lovers. Your privacy is protected and Anthony Smook Wines will not use / reveal any of your information supplied for any other reason apart from the EXCLUSIVE WINE CLUB, whatsoever. |
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Please check that you have completed all *Required* fields in the application form
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