“a-list” APPLICATION Name * First Name Last Name Email * Birthdate * We want to put it in our calendar :) How did you initially hear about us? * Instagram Word of mouth/friend Advertisement Press Google Maps What social media platforms do you primarily use? * Select all that apply. Instagram Facebook TikTok Twitter Snapchat YouTube What industry do you work in? * How do you spend your free time? Or name one thing you are passionate about. * What is your favorite thing about Artist Block? * What is your biggest frustration when it comes to wine tasting in Willamette? * What is a dream of yours? * Big or small, tell all! Instagram handle? What is your preferred method of communication? * Email Text Instagram or Facebook Chat Mail Where should we send your surprise? * Address 1 Address 2 City State/Province Zip/Postal Code Country We can’t wait to get to know you a little better. xoxo AB