Congratulations! You Ate It!

1. How did it taste? 2. Like chicken?   a. Yes   b. No 3. Better?   a. Yes   b. No 4. Bar Name: 5. City:

Now you can join W.O.W.
(World-wide Order of the Worm)
Just fill out the form below, answer a few questions and we'll send you cool
Monte Alban Mezcal membership stuff.

---

6. How many drinks of Monte Alban Mezcal did you have in the last month?
7. How many 750ml bottles of Monte Alban Mezcal did you buy in the past 6 months?

8. First Name*:		9. Last Name*:
10. Age*:	a. 21 - 34   b. 35 - 49   c. Over 50
11. Mailing Address:		City:
12. State:		13. Zip:
14. E-Mail*:		15. Phone:

If you have a question, comment or problem you'd like to discuss with the Grand Exalted, and All-Knowing Monte The Worm , just fill out the form below and click on the Submit buttom to send it in.

16. My question is:

---

*The Monte Alban Worm Club is open to all adults of legal drinking age. No purchase necessary. The Monte Alban Worm Club is sponsored by Barton Imports, and may be discontinued at any time at the sponsor's discretion. Monte Alban Mezcal 40%Alc/Vol. (80 Proof) Imported by Barton Imports, Chicago, Il.

Home Page | Monte Alban Mezcal | Recipes | Worm Eaters' Digest