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Welcome
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Welcome
View Videos
Our Team
Contact
Step
1
of
6
16%
Conditions to Proceed
You must be over 18 to participate.
*
Yes, I'm over 18
No, I'm not
Date of Birth
*
DD slash MM slash YYYY
I understand that I'm receiving wine under the obligation to provide feedback.
*
Yes
No
Contact Details
Name
*
First
Last
Email
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Enter Email
Confirm Email
Mobile Number
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Shipping Address (Street Address - No Post Boxes Allowed)
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Australia
New Zealand
United States
Country
Demographic Details
Gender
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Male
Female
Other
Educational Level
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High School
Diploma / Certificate
Degree
Post Graduate
Marital Status
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Single
Married
Widowed
Divorced
Seperated
Ethnicity
*
Select
Aboriginal or Torres Strait Islander
African
American Indian
Asian
Caucasian
Hispanic or Latino
Pacific Islander
Wines Styles
My favourite wine varietal?
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Select
Shiraz
Cabernet Sauvignon
Pinot Noir
Merlot
Grenache
Other Red Varietal
Chardonnay – Oaked
Chardonnay – Unoaked
Riesling
Sauvignon Blanc
Pinot Gris Grigio
Semillon
Verdelho
Other White Varietal
My favourite wine style?
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Select
White Wine
Red Wine
Rose
Sparkling
Dessert
My second favourite wine style?
*
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White Wine
Red Wine
Rose
Sparkling
Dessert
My least favourite wine style?
*
Select
White Wine
Red Wine
Rose
Sparkling
Dessert
Wine Purchasing
Normal Wine Purchase Price Range?
*
Select
> $10.00
$10.00 - $14.99
$15.00 - $19.99
$20.00 - $24.99
$25.00 +
Normal wine purchase channel?
*
Select
Retail
Cellar Door
Online Retailers
Wine Clubs
Auctions and Special Promotions
What would you occasionally choose to drink before wine?
*
Select
Beer
Cocktails
White Spirits
Wiskey
Nothing Else
Wine Enjoyment
Favourite wine country?
*
Select
Australia
New Zealand
France
Italy
Other
Glasses of wine per week?
*
Select
> 1
1 - 4
5 - 9
10 - 14
15+
When last did you visit a winery?
*
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Never
This Year
Last Year
More than 2 years ago
Are you a member of a wine club?
*
Select
Yes
No