2016 Dead of Winter Stout Registration Form

Name(s) (Include all of those who assisted in the brew) *

Address *

City *

State *

ZIP Code *

Email *

Homebrew Club *

Other Clubs (We will add your club to our database)

Name of Beer *

Style *

Further Description of Entry- Yes, you need to tell us more.. *

Do you plan to attend? *

Will you have a Chili entry? *

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