WSET Booking Form

Name *

First Name

Last Name

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

I wish to register for the following course: *

WSET LEVEL 1 AWARD IN WINES Course Date: March 4, 18 & April 8

WSET LEVEL 1 AWARD IN WINES Course Date: May 25

WSET LEVEL 3 AWARD IN WINES Course Date: March 15, 16, 17, April 5, 6 with exam June 19

Acknowledgments *

I HAVE READ AND AGREED TO THE TERMS AND CONDITIONS INDICATED IN THIS BOOKING FORM

Yes

No

Phone *

(###)

###

####