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Cocktail Competition Competitor Registration
Registration Type
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Member
Non-Member (includes 1 year Gold Membership) ($195)
Non-Member (includes 1 year Platinum Membership) ($375)
Bar/Restaurant Name
(Required)
Contact First Name
(Required)
Contact Last Name
(Required)
Contact Email
(Required)
Contact Phone
(Required)
Preferred Form of Communication
(Required)
Phone
Email
Text
If Text, Enter Cell Number
(Required)
Preferred Marketing Link Redirect
Website
Social Media Page
Website URL
(Required)
Please List Instagram and Facebook
(Required)
Number of Bartenders Competing
(Required)
Please Select One
1 Bartender
2 Bartenders *1 Cocktail, 1 Mocktail
Bartender 1 (First and Last Name)
(Required)
Bartender 1 Contact Phone
(Required)
Bartender 1 Email
(Required)
Bartender 2 (First and Last Name)
(Required)
Bartender 2 Contact Phone
(Required)
Bartender 2 Email
(Required)
Business Info (To be used in Membership Directory)
Business Name
(Required)
Business Phone
(Required)
Business Address
(Required)
Street Address
Address Line 2
City
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Northern Mariana Islands
Ohio
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Is the business and mailing address the same?
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No
Mailing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Website
Directory Classification
(Required)
Advertising & Media
Animal & Veterinary
Arts, Culture, & Entertinment
Associate (Community) Member
Automotive & Aviation
Business & Professional Services
Cemetery, Mortuary, & Funeral Services
Communications
Computers, IT, & Tech
Employment & Staffing
Family, Community, & Non-Profit
Finance & Insurance
Government & Education
Healthcare
Home & Garden
Industrial & Manufacturing
Legal
Lodging, Travel, & Tourism
Personal Care & Services
Real Estate & Construction
Religious Organizations
Restaurants, Food, & Beverages
Shopping & Specialty Retail
Sports & Recreation
Utilities & Environment
California State ID (SEIN)
(Required)
Direct Contact Info
First Name
(Required)
Last Name
(Required)
Phone
(Required)
Email
(Required)
Please List Chamber Representative who helped you with the membership process
Have Membership contact me about
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Ambassadors
Government Review Committee
Membership Committee
Rise & Shine
Dog Jog
New Year's Eve
President's Circle
Legislative Forum
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