Qty	Item	Description	Price	Total
	Subtotal	$0.00

6 Bottle Club

15% off all wine purchases.
6 bottles 2 times a year.
Shipments will be in Spring and Fall.
Unlimited Complimentary tastings for 4 guests per visit.

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6 bottles 2 times a year. Shipments will be in Spring and Fall.

15% discount on all wine purchases.

Complimentary tastings for up to 4 guests.

Billing Information

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*Birth Date

*First Name

*Last Name

Company

*Address

*City

*State

*Zip Code

*Phone

*Email

Club Notes

Shipping Information

*Birth Date

*First Name

*Last Name

Company

*Address

*City

*State

*Zip Code

*Phone

*Email

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