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	REQUEST A SHELF TALKER           To have a Michael Skurnik Wines representative contact you regarding a shelf talker for Albarino, 'Ca' del Solo', Bonny Doon Vineyards, please fill out the information below. (Fields marked with * are required.)               *First Name:   *Last Name:             *Company Name (DBA):   Company Type (check all that apply):       Retail Restaurant Hotel State Store Wholesaler Military Other           *Address:               *City: *State *Zip: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico       Email Address:   *Phone Number: (include area code & extension)             Questions or Comments (optional)
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