EmailMe Form - G.O.A.T Brew Fest

Name *

First Last

Brewery or Winery Name (promotional name) *

Brewery/Winery Name for Stipend Check *

Distributor *

Distributor Phone Number *

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Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

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Fax *

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Email *

High Resolution jpg logo *

Pour List based on 2-4 ounce pours: *

Proof of Insurance

Certificate Holder: Hartford Yard Goats Foundation
Address of Holder: 1214 Main St, Hartford CT 06103
Additional insured: Hartford Yard Goats Foundation, Connecticut Double Play, LLC, City of Hartford, The Ferris Group, LLC

Please have following language included on Proof of Insurance
"The certificate holder is included as additional insured as respect General Liability on a primary and non-contributory basis as required by written contract. Waiver of subrogation applies to the General Liability as required by written contract."

I agree to notify The Ferris Group, LLC should I become unable to fulfill my commitment. I agree to send in all necessary insurance documents before October 4, 2019 in order to participate in the event *

I agree