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DANCIN Vineyard’s Encore! Wine Club 12 bottles, quarterly - 25% off retail
If you choose to pick up your wine at the tasting room, the "shipping to" fields are not required.
Check One:
*
Please ship
Pick up at tasting room
Shipping To
First Name
Last Name
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Home #
Work #:
Email Address
Delivery Address:
Residential
Commercial
Note:Federal law requires that wine shipments to a residence be signed for by an adult or be sent to a business address.
Billing Information
Name on Card
*
Credit Card Type
*
Visa
MasterCard
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
CVC Code: 3 digit code on back
*
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Email Address
*
Home #
*
Work #:
Comments:
I certify that I am 21 years or older. I will inform the winery of any change in address, and will be responsible for possible re-shipping charges. I understand I can cancel my membership at any time after receiving my first four wine club releases.
*
I agree
I disagree
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