Please fill-out this basic contact and information sheet for our records and so we will be able to send invites for your Upwork and WhatsApp, send you your kit, materials and supplies and be able to get you correspondance and materials.

Name

First Name

Last Name

Use the email you will be using for work with us and for Upwork.com

Mobile Phone

Use the mobile number you will be using for WhatsApp

(###)

###

####

Instagram Handle (if you have one)

This is optional, but we will follow you. And we would love to tag you when putting out Stories etc. about tastings

Demo Territory

Shipping Address

Needed to send you your kit and periodic supplies etc.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country