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Wine Club Sign Up Form

HomeWine Club Sign Up Form
Wine Club Sign Up Form
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Name
Do you prefer a monthly or quarterly wine club membership?
Which club membership level do you prefer?
Which type(s) of wine do you prefer?
Delivery is available on quarterly wine club memberships for those residing within 25 miles of the winery for $10 per delivery. Would you like delivery for your membership?
Three to four digit code on back of card.
I (the Cardholder) understand that this authorization will remain in effect until I cancel it in writing. I agree to notify the Graham Vineyards in writing of any changes in my account information or termination of this authorization at least fifteen (15) days before the next billing date. If the above-noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I acknowledge that the origination of Credit Card transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Credit Card and will not dispute these scheduled transactions; so long as the transactions correspond to the terms indicated in this authorization form.