Cellar Club Enrollment
(Print and Return)
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Cellar Club Enrollment (Print and Return) |
Please enroll me in your Cellar Club sampling program. I am at least 21 years of age.
Name and shipping address: (we ship UPS, no P.O. boxes please. Commercial addresses preferred.) |
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| Daytime Telephone Number: | |
| Visa, M/C, or AmEx number & expiration date: | |
| Cardholder's Name & Signature: | |
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Circle the option which you would prefer: Please send me 3 bottles in each shipment Please send me 6 bottles in each shipment (2 bottles of each wine.) |
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Email Address: |
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*You may cancel your membership at any time after three shipments by providing written notification (regular mail, e-mail, or fax).
Print this form, complete it, and return to us by fax, (805) 544-7012, or by mail at:
Claiborne & Churchill Vintners, 2649 Carpenter Canyon Road
San Luis Obispo, California, 93401