VinoQuest/MIT Club Andrew Murray Vineyards Tasting
Manhattan Country Club
Saturday, February 21, 2004, 2:00 p.m. - 5:00 p.m.
Registration Form

Name: ___________________________________________________
Street Address: ___________________________________________________
City, State, Zip: ___________________________________________________
Phone: ______________________________________
Email: ______________________________________
MIT Club of Southern California Member? Yes _____                   No_____
No. of Attendees: _________________
Amount ($40/person for MIT Club members and their guests or $45/person for non-members and their guests) $________________

Fax this registration form to (310) 798-7273 along with your MasterCard or Visa credit card number and expiration date. If the exact name on, and/or billing address for, the credit card is different than the name and/or address listed above, please provide the exact name and billing address as well:

MC__   VISA__  Card no.:  ______-______-______-______  Exp. Date: ___/___

Exact name on and/or billing address for card, if different than the name and/or address provided above:





Make your check in the appropriate amount payable to VinoQuest and send to:

1601 N. Sepulveda Boulevard, #793
Manhattan Beach, CA  90266


There is a $5 refund processing fee per attendee; no refunds after February 17, 2004 unless you find someone to fill your spot.

Questions? Call VinoQuest at (310) 798-2004