Company:

Contact:  

Phone:

Lender Company Requiring Evaluation:  

Lender Company Contact:

Lender Company Contact Phone:

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Type of Evaluation Requested:

Additional Wines or Comments

Number of Wines:

Please include Variety, Vintage,
Appellation, and Quantity  

Basic Evaluation
Sensory Evaluation
On Winery Site Audit/Evaluation

 

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