Indiana Wine Trail Press Trip

FAX BACK Reservation Form

Please respond by May 1st.

To:         Sally McWilliams, Coordinator

              Down the Lazy River

              812.265.6384 FAX     (812.265.6999 Phone)

From:    Name ______________________________________________________

              Publication/Organization _______________________________________

              FAX _________________________ Phone ________________________

              Email ______________________________________________________

Space is limited. Reservations will be accepted on a first come first serve basis. We will confirm reservations by phone or email.

____  Yes, I would like to attend the 3 day-2 nights Indiana Wine Trail Press Trip, May 16-18, 2006

____     I will be traveling alone

____     I will be traveling with someone (Name ___________________________)

____     I have special dietary/lodging needs. (Please list)

              ___________________________________________________________

____     I will need transportation from the Indianapolis, Louisville or Cincinnati airport (Please circle one)

____     I cannot attend the full 3 day trip, but I would like to participate in the following (please check only one):

____  Day in Madison (5/16)

____  Day & overnight in Madison (5/16)

____  Day in Vevay, Rising Sun & New Alsace (5/17)

____  Day in Vevay, Rising Sun & New Alsace and overnight in Batesville (5/17)

____  Day in Batesville (5/18)

____     I am not available May 16-18, but I am interested in a customized press trip itinerary (indicate preferred date and preferred       locations/attractions)

              ________________________________________________________

              ________________________________________________________