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Sign Up for the Deaver Vineyard Wine Club
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(Must be 21 years of age or older to join.)
(Please note: we can only ship wine to AK, AZ, CA, CO, FL, GA, IA, IL, MI, MN, NM, NV, OH, OR, TX, WA, WI.) |
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Eve. Phone
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Fax Number
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Home Work |
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| Choose from the following: |
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| Red and white wine |
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| Red wine only |
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| Port lover's option (3 bottles once a year) |
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| Would you like your wine shipped for an additional $12 or held at the winery for pick-up? |
| Ship Hold at Winery |
| If shipping address is different than billing address, please check this box and enter shipping information below |
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Street 2
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Residence Business |
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| Payment Information |
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| * Your credit card information will be securely encrypted when sent to us. |
| Credit Card Type |
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| Name as it Appears On Card |
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| Birth Date of Card Holder (mm/dd/yyyy) |
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| Expiration Date (mm/yy) |
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| Comments? |
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