ADOPT A ROW OF VINES IN THE LANGHE

Fill in the form to complete the adoption procedure.
We know we are asking you for a lot of information but we need it in order to offer you a personal experience of the project’s development.

Adotta un filare rec english

Application form

Name

Surname

Address

Street

Address

Town

Province

Postcode

Telephone

It will be used for free registration with the Wine Club and future communications

Date of birth

e.g.: gg/mm/YYYY

Is the adoption for someone else?

YES, I want to give the adoption as a gift

NO, the adoption is for me