Beverage Partner Form

Please complete this form.

Make a secure payment via any major credit card or with your PayPal account.

Make checks payable to: Shawangunk Wine Trail Mail to: Shawangunk Wine Trail, P.O. Box 526, Marlboro, NY 12542.

Questions? Call us 845-256-8456, Mon-Fri from 9am to 5pm or email

Contact Name
Title
Business Name
Business Address
Street Address Address Line 2 City State ZIP Code
Phone
Alternate Phone (This number will not be published)
Business Email
Website
Hours of Operation
Description of your Business, 300 characters maximum. Description of your business to be included on GunksWine.com. We may edit for clarity. No changes in your description from previous year? Please enter "Same as last year"
Your Social Media URLS: Facebook, Instagram, Twitter, YouTube, etc:
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Logo upload, in jpg or pdf format
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Accepted file types: jpg, pdf.
Sponsorship Levels
Membership*
- 12 Month Membership $1500
Payment
I wish to pay by:
- Check
- Credit Card/ Pay Pal Account
Make Check Payable to:
Shawangunk Wine Trail
Please Mail Check to: Shawangunk Wine Trail
P.O. Box 526
Marlboro, NY 12542
Billing Info
Billing Name
First Last
Billing Email

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