Welcome to the Wild Vine



First Name*
Middle Name
Last Name*
Mailing Address
City
State
Zip Code
Phone
Alt Phone
Fax
Email*
	Same as Mailing Address
If you want something shipped and it is not the same as mailing address.
Shipping Address

City
State
Zip Code
If you have a question or special order, please enter it here and the manager will get back to you shortly.
Comments
How did you hear about us?
First name of referrer
Last name of referrer
Email of referrer
	Mailing List
Disclosure of Personal Information: The Wild Vine is committed to keeping your personal information strictly confidential. When we collect your personal information (i.e. name, address, e-mail, telephone number) it is in an effort to notify you about our events, answer inquiries, and to share promotional information. It is our policy not to disclose any of your personal information at any time. We do not sell, trade, or rent your personal information to third parties. Wild Vine is affiliated with White Crane Winery so you may receive information about White Crane events as well. If you do not want to receive those, note that in the comments field. Opting Out:* The Wild Vine may send you newsletters, special event notices and promotional offers via-email when you join our mailing list. Please do not mark us as Spam, as that may cause detrimental problems to our servers. If you ever wish to unsubscribe from our e-mail list, simply send us an e-mail stating your request and our staff will send you confirmation that you have been removed from our mailing list. Changing Personal Information: You can modify or change your contact information at any time by sending us an email to events@wildvinelounge.com with the required changes.
* I have read and understand that I will be receiving newsletters, special events and promotional offers via-email. I will not mark your e-mails as Spam, as I am aware that this may cause detrimental problems to your servers. I understand that I can choose to opt out of the mailing list at any time.

* Indicates fields that are mandatory


Sunday	12:30 - 6:30 PM
Monday	Closed
Tuesday	1:00 - 8:00 PM
Wednesday	3:00 - 9:00 PM
Thursday	3:00 - 10:00 PM
Friday	3:00 - 1:00 AM
Saturday	1:00 - 1:00 AM

2187 First Street, Livermore, CA 94550
Contact: events@wildvinelounge.com
Site designed by: Denali Data Systems, Inc.