Name ________________________________________________________________________
Street Address ______________________________________________________________
City ______________________________ State _______________ Zip _______________
Phone (h) (_________)__________________ (w) (_________)____________________
Email Address _______________________________________________________________
JUDGING EXPERIENCE None _____ Other ______________________________________
PLEASE ANSWER THE QUESTIONS BELOW
How long have you been brewing? ____________________________________________
Approximately how many batches have you brewed? _____________________________
How many competitions have you judged in? ___________________________________
Which category(ies) are you
best qualified to judge? __________________________________________________
do you prefer not to judge ________________________________________________
unable to judge ___________________________________________________________
(beer in competition)
Signature ________________________________________ Date ____________________ Please return this form to: Joe Uknalis (see below **)
** Call Joe at 215-233-6439 or send him
e-mail to verify the address