Sommelier Wine Academy
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Christopher S. Miller
Lawrence LaManna
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Contact Us: info@sommelierwineacademy.net    
Sommelier Wine Academy Application
Name:
Address:
City:
State:
ZIP Code:
Home Phone:
Alternate Phone:
E-mail:
Business Affil:
Position:
Address:
Business Phone:
Business Fax:
Please indicate what course you are interested in:
Payment may be made by check or money order or credit card.
Enclosed is my check / money / credit card order:
Check     Money     Credit card

Payment must be made in full to secure your seat in the class

Please mail payment to: Sommelier Wine Academy, 2 Kingswood Way, South Salem, NY 10590

If you have taken and equivalent course with any of the following: WSET, Sommelier Society of America (Manhattan),
American Sommelier Association, Court of Master Sommeliers, please include a copy of the certificate.

Please include with your information a copy of a driver’s license
or other identification showing proof of age.
All cancellations must be received in writing. Thank you.

For more information please contact the SWA 914.533.2391 or email ( info@sommelierwineacademy.net )

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