Host an Event

When you register as a host you are indicating your interest in hosting a Hope Uncorked event. You do not have to have your event logistics determined – you can enter that information later. When you do submit your event information, you will be asked to RSVP first, which entails buying a $25 ticket as well as selecting your preferred magazine – Cookie, Glamour, Gourmet, GQ or SELF – for your one-year subscription (a $12 value).

Please enter the following information to register as a Hope Uncorked host:

Host Information

* Required Field

Prefix:
Hosted By:  (i.e. Bob and Jane Smith)  *
First Name:  *
Last Name:  *
Title:
Company:
Address:  *
 
City:  *
State:  *
Zip:  *
Phone:  (212-555-5555) *
Email:  *
Confirm Email:  *
Password:  *
(Password must be at least 3 characters.)
Confirm Password:  *
(Please re-enter your password.)

Background Information (Optional)
Gender:
Age:
Cancer Survivor:
Infertility Patient:
Parent:

Referral Information
How did you hear about Hope Uncorked? Please select all that apply.  Fertile Hope
 Magazine Advertisement
 Print Media (e.g. Newspaper article)
 TV Media (e.g. Today Show)
 Online (e.g. Google)
 Word of Mouth
 Attended A Party Hosted By: 
 Other: 
* Required Field

Disclaimer

Fertile Hope encourages all individuals to enjoy wine responsibly. Hope Uncorked is intended for wine enthusiasts who are above the legal drinking age in their respective state. By registering as host for a Hope Uncorked event, you agree that you will comply with the alcohol-related laws in your state.
 I agree