First Name *

Last Name *

Do you drink wine? *

Yes

No

On Special Occasions

Are you a cannabis user? *

Yes

No

On Special Occasions

Would you be interested in learning more about pairing wine and cannabis? *

Yes

No

Would you be interested in attending an event experience with cannabis and wine?

Yes

No

Maybe

How much would you be willing to pay for an experience pairing weed & wine?

$15 - $25

$30 - $50

$60 - $75

$80 - $100

Please add your preferred contact information below if you'd like to stay up to date on upcoming events!

Email *

Phone *

Preferred Contact Method *

Email

Phone

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