WINE CLUB REGISTRATION FORM 2026

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  1. Click ‘Get Form’ to open the WINE CLUB REGISTRATION FORM in the editor.
  2. Begin by selecting whether the purchaser is the same as the recipient. Check the appropriate box.
  3. Fill in the Wine Club Member Account Number if applicable, followed by the Purchaser Information section. Enter your name, address, city, state, zip code, county (if shipping to Florida), phone number, email address, date of birth, and driver's license number.
  4. Choose your membership option from the Annual Amount section by checking one of the boxes for Membership Only or Out-of-State/In-State Shipping.
  5. If the recipient is different from the purchaser, complete the Recipient Information section with their details similarly to how you filled out your own information.
  6. Ensure all required fields are completed accurately. Review your entries for correctness before submission.
  7. Once finished, fax this form back to (231) 223-4105 using our platform's fax feature or follow any additional instructions provided.

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