Twisted Twig® Restaurant Wine Reseller Application

Twisted Twig® Winery considers restaurants that inventory and sell our wine to be essential partners to our business. By vetting our applicants and limiting distribution in a particular market area we afford the partner restaurants the greatest opportunity to maximize the return on there wine inventory investments. Twisted Twig Winery leverages the "Premium Wine" message and trademark Sommelier Quality™ along with the quality of their wine with consumer level marketing and advertising to increase your sell thru and position our exclusive wine as valuable assets that your restaurant has access to.

Sommelier Quality™ indicates wine of the highest quality appropriate for food pairing where the wonderful and delicious combination of that food and wine experience greatly enhance both parts of the meal.

* Indicates A Required Field
*Restaurant Name:	A value is required.
*Restaurant Website URL:	A value is required.
*Managers First Name:	A value is required.
*Managers Last Name:	A value is required.
*Managers Email:	A value is required.
*Managers Phone Number:	A value is required.
*Managers Shipping Street Address:	A value is required.
*Managers Mailing Address:	A value is required.
*State:	Select State Here AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Please select an item.
*Zip Code:	A value is required.
*Country:	Select Country Here United States Please select an item.
*Wine Buyers First Name:	A value is required.
*Wine Buyers Last Name:	A value is required.
*Wine Buyers Email:	A value is required.
*Wine Buyers Phone:	A value is required.
*Wine Buyers Shipping Street Address:	A value is required.
*Wine Buyers Mailing Address:	A value is required.
*State:	Select State Here AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Please select an item.
*Zip Code:	A value is required.
*Country:	Select Country Here United States Please select an item.
*Reson For Contacting Us:	Select Reason Here Apply To Sell Wine Schedule An Event Pricing Request Samples Customer Services Reorder Please select an item.
What type of cuisine do you serve?
Year Established?
How many tables in your establishment?
How many wines are on your wine list?
What is the average selling price of you top selling wine?
What is the most expensive wine on your list?
What is the price?
Do you sell wine by the glass?	Select One Yes No
Which varietals are you interested in carrying?	Syrah Cabernet Zinfandel
Do you accept direct winery shipments?	Select One Yes No
Do you have a current ditributor?	Select One Yes No If You Answered "Yes" Give Their Name & Contact Number
Twisted Twig Winery promotes applicant restaurants on our website, during sales events and offers gift certificates to increase traffic to those restaurants.
Will you reciprocate by waiving the corkage fee if a patron brings in a bottle of Twisted Twig wine to enjoy with their dinner?	Select One Yes No
Would you like more information about scheduling a promotional event at your restaurant?	Select One Yes No If You Answered "Yes" Please Describe
Please provide resale number:
Please provide liquor license number:
Does your restaurant use the on-line reservation system OpenTable.com? Reservation services powered by:	Yes No
Message/Comment:
Please make a selection. I am at least 21 years of age & agree to Twisted Twig Wineries Privacy Policy & Terms of Use.
I would like to receive information and updates about Twisted Twig Winery Corporation.

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