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Wine Club Membership Form

Person receiving and/or purchasing wine must be 21 years of age or older.

First Name: Last Name:

Telephone Number:

Email:

Please select your choice from the following 6 options: We will contact you by E-mail to confirm your membership and get your shipping and billing information.

Vintner's Choice #1

Vintner's Choice #1: All Dry - 2 Bottles of Red
Vintner's Choice #1: All Dry - 2 Bottles of White
Vintner's Choice #1: All Dry - 2 Bottles: 1 Red - 1 White

Vintner's Choice #2

Vintner's Choice #2: All Sweet - 2 Bottles of Red
Vintner's Choice #2: All Sweet - 2 Bottles of White
Vintner's Choice #2: All Sweet - 2 Bottles: 1 Red - 1 White

Vintner's Choice #3

Vintner's Choice #3: For the Adventurer! 2 bottles, our choice of sweet, dry or ?

Vintner's Choice #4

Vintner's Choice #4: Reds - 2 Bottles of Sweet
Vintner's Choice #4: Reds - 2 Bottles of Dry
Vintner's Choice #4: Reds - 2 Bottles: 1 Sweet - 1 Dry

Vintner's Choice #5

Vintner's Choice #5: White - 2 Bottles of Sweet
Vintner's Choice #5: White - 2 Bottles of Dry
Vintner's Choice #5: White - 2 Bottles: 1 Sweet - 1 Dry

Your Choice

Make your own selection from our shopping cart and receive a 15% discount on 2 bottle minimums. Order anytime.

Your Choice



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