2024 Dirt to Glass: Elevating Michigan Wine from the Ground Up

* First Name

* Last Name

* Company / Vineyard / Winery

* Job Title

* Address

Addt'l Address

* City

* State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland & Labrador North Carolina North Dakota Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Not Applicable

* Zipcode

* County (If not from Michigan, chose NA.) Alcona Alger Allegan Alpena Antrim Arenac Baraga Barry Bay Benzie Berrien Branch Calhoun Cass Charlevoix Cheboygan Chippewa Clare Clinton Crawford Delta Dickinson Eaton Emmet Genesee Gladwin Gogebic Grand Traverse Gratiot Hillsdale Houghton Huron Ingham Ionia Iosco Iron Isabella Jackson Kalamazoo Kalkaska Kent Keweenaw Lake Lapeer Leelanau Lenawee Livingston Luce Mackinac Macomb Manistee Marquette Mason Mecosta Menominee Midland Missaukee Monroe Montcalm Montmorency Muskegon Newaygo Oakland Oceana Ogemaw Ontonagon Osceola Oscoda Otsego Ottawa Presque Isle Roscommon Saginaw Sanilac Schoolcraft Shiawassee St. Clair St. Joseph Tuscola Van Buren Washtenaw Wayne Wexford Not Applicable

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* Phone Number

* E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

I plan to attend *

August 22 and 23, 2024 ($300.00) (1 opening available) August 22, 2024 ($150.00) (107 openings available)

I am willing to have my contact information shared with sponsors, vendors and participants *

Yes No

Are you a MSU alumni? *

Yes No

If so, what year did you graduate MSU? Enter a whole number greater than or equal to 0.

Select your lunch choice for Day 1 (August 22) *

The Godfather: Capicola, prosciutto, provolone, roasted peppers, tomatoes, pesto & Italian dressing Shy Turkey: Turkey, hard salami, provolone, Italian dressing and hot mustard Leelanau: London Broil, swiss cheese, lettuce, tomato, roasted pepper with mayo and horseradish The Sicilian: Fresh mozzarella, tomato, fresh pesto, olive oil and balsamic vinegar

Sandwiches provided by Folgerelli's

Select the your meal choice for Day 2, if attending (August 23) *

The Green Machine (wrap): Avocado, hummus, cucumbers, roasted poblano peppers, sun-dried tomatoes, arugula, radish microgreens, red onion, goat cheese, sage-thyme aioli, roasted red pepper wrap New Yorker: Roast beef, asiago, scallion cream cheese, red onion, roma tomato, leaf lettuce, radish microgreens, horseradish sauce, Jewish rye bread Smokin' Jo: Smoked turkey, turkey-bacon, smoked gouda, onion, roma tomato, leaf lettuce, mesquite mayo, Jewish rye bread Not Attending Day 2

Special Dietary Needs *

None Vegetarian Vegan Dairy Free Gluten Free Other

Other - please explain: If you indicate an allergy, please specify if it's ingested or airborne. Please provide as much information as possible about your restrictions so that we can appropriately meet your needs.