Located at: 5425 South La Grange Road, Countryside, IL 60525  1-708-354-0355

 

Seminar Registration

 

After filling in form, please be certain to click on the "SUBMIT" button at the bottom -
you should see a "confirmation" page if you entered your information correctly.

 

Name:                           

Address:

City:   ST:   Zip:

Phone:   

E-Mail Address:

Number of persons:                   

Credit Card Number:                       

Security Code:                    

Expiration:

By submitting this form, I authorize Mainstreet Wines and Liquors to charge the $10.00 Per person cost to the credit card I have listed.

Then Click Here