Cal-Italia.com Food & Lifestyle Purveyor Update Form

Food & Lifestyle Purveyor
Member Updates

Please start by entering your name (the person submitting this information) and phone number. Then enter all information that you would like updated. If you would like to have information removed, please use the comment box. Required fields are indicated in yellow.

Your Name:
Phone:

Purveyor Name:

Purveyor Type:	Food Purveyor Restaurant Lifestyle Purveyor

For updates, please fill out only the information that has changed*.
Street Address:
City:
State:
Zip:

Contact:
Phone:
Fax:
Email:
Web site:
Description:	Please describe your company in around 50 words.

Discounts:
Use this field to list additional wines or for specials given to Cal-Italia.com consumer membership (this is a new area of the website)

Comments:
Use this field to list additional wines or for special instructions.

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