U.S. Open Beer College Championship Registration Form - US Open Beer College Championship

School Name / Program or Class Name*
Website

Format: http://www.example.com
Professor/Instructor*
First Last
Phone*
Format: (555)555-5555
Email*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address Same as Billing?*
- Yes
- No
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Beer Entries*
REMINDER: Each college or university may enter up to four beers in categories of their own choosing. In addition, each school is invited to submit a beer in the German Kölsch (52) category.
Entry 1 - Beer Name*
Entry 1 - Category (Drop Down)*
Entry 1 - Full brew sheet and technical details
Entry 1 - Name(s) of student(s)
Entry 2 - Beer Name*
Entry 2 - Category (Drop Down)*
Entry 2 - Full brew sheet and technical details
Entry 2 - Name(s) of student(s)
Entry 3 - Beer Name*
Entry 3 - Category (Drop Down)*
Entry 3 - Full brew sheet and technical details
Entry 3 - Name(s) of student(s)
Entry 4 - Beer Name*
Entry 4 - Category (Drop Down)*
Entry 4 - Full brew sheet and technical details
Entry 4 - Name(s) of student(s)
Entry 5 - Beer Name*
Entry 5 - Category (Drop Down)*
Entry 5 - Full brew sheet and technical details
Entry 5 - Name(s) of student(s)
Total
$0.00
Payment Method*
- Credit Card
- Mail-In Check