Passport: Legacy VIP Application for 2018 Question Title * 1. First & Last Name of Purchaser: Question Title * 2. Email: Question Title * 3. Phone Number: Question Title * 4. Mailing Address: Street Address: City State ZIP In order to qualify for Legacy VIP status in 2018 you needed to have made a total of $300 in wine purchases during the 2017 Passport Wine Event. This can be a single purchase at one winery or several purchases at multiple wineries totaling $300. Please fill out the form below with your qualifying sales receipt(s) information. Question Title * 5. Winery #1: Winery Name: Total Amount Spent: Transaction Number (on receipt): Question Title * 6. Winery #2: (if applicable) Winery Name: Total Amount Spent: Transaction Number (on receipt): Question Title * 7. Winery #3: (if applicable) Winery Name: Total Amount Spent: Transaction Number (on receipt): Question Title * 8. Winery #4: (if applicable) Winery Name: Total Amount Spent: Transaction Number (on receipt): Question Title * 9. Winery #5: (if applicable) Winery Name: Total Amount Spent: Transaction Number (on receipt): Question Title * 10. Please upload a picture of your receipts. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload a picture of your receipts. Need help? Give us a call at (916) 862-0956 You will be notified of your acceptance into the Legacy VIP program by August 2017. If you do not hear from us by then, please email info@eldoradowines.org. Done