Route 66 IECA Wine Tasting Event Registration3 p.m. - 6:00 p.m. • Saturday, April 22, 2017 • The Sycamore Inn, 8318 Foothill Blvd., Rancho Cucamonga, CA 91730

Name (Please Print): _________________________________________________________

Street: ________________________ City: __________________ State: ______ Zipcode: _____________

Phone: ( ) _____________________ E-Mail Address: ______________________________________

Ticket Quantity: _______ (@ $35.00 each) Total Amount: _______________ Check Number: ________

Make Checks Payable to Route 66 IECAMail this form and check to: Route 66 IECA 10808 Foothill Blvd., Suite 160 Rancho California, CA 91730

More information: visit us on Facebook.com Visit Our Website: www.route66ieca.org Call Us: 909-271-1024