The Wine Century Club APPLICATION FOR MEMBERSHIP AT S RE EA First Name: Middle Name: G L E O H F Last Name: Email: T EST 2005 Address: T VENI VICI H E B Address 2: W U VINO L IN C E Y CENTUR City: State/Province: Zip: Country: grape count: Instructions: Check the box next to each grape variety you have tasted. For varieties not listed here, use the blank spaces at the bottom of each section. Grape varieties that you've tried only in blends with other varieties are permitted. Wine Name, Produder, Region & Vintage are optional (but required if you’re going for trebble membership or higher). If you have at least 100 varieties checked, email this form to
[email protected] or upload it at www.winecentury.com/upload. Please note that the application is entirely on the honor system; should you lie, may the wrath of Bacchus curse your palate! WHITE GRAPES Wine Name, Winemaker, Region & Vintage (Optional) Airén Albariño Albarola Aligoté Arinto Arneis Arvine Asprinio Bianco Assyrtiko Auxerrois Avesso Bacchus Bellone Biancolella Bical Blanc de Morgex Bombino Bianco Bornova Misketi WHITE GRAPES Wine Name, Winemaker, Region & Vintage (Optional) Bosco Bourboulenc Bual Bukettraube Carricante Catarratto Chardonnay Chasselas Chenin Blanc Clairette Cococciola Coda di Volpe Colombard Cortese Cserzegi Fuszeres Delaware Emir Erbaluce Falanghina Favorita Feteasca Alba Fiano Folle Blanc Forastera Fruilano Furmint Garganega Gewürztraminer Godello Gouais blanc Grechetto Greco The Wine Century Club APPLICATION PAGE 2 WHITE GRAPES Wine Name, Winemaker, Region