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Click ‘Get Form’ to open the Wine Club Membership Form in the editor.
Select your preferred method of delivery by checking one of the options: In store pickup, Free Local Delivery, or UPS Delivery.
Choose your Wine Club Selection by marking either Red/Red, Red/White, or White/White.
Fill in the Bill-To Information section with your Name, Address, City, State, Zip Code, and Phone number.
Provide your Email address and indicate how you were referred to the club.
If applicable, check the box for 'Same As Bill-To Information' for Ship-To Information. Otherwise, fill in the required fields again.
Complete the Credit Card Information section by selecting your card type (Visa, MC, Amex, Discover), entering your Credit Card Number, Expiration Date, and Validation Code.
Sign and date the form to confirm your membership agreement.
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