Qty	Item	Description	Price	Total
	Subtotal	$0.00

2 Seasons

You have opted to receive two deliveries a year. Please select a minimum of 6 bottles for each seasonal order.

*In joining the Two Seaons wine club you agree to select & receive a minimum of one dozen wines per year.

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Billing Information

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*Birth Date

*First Name

*Last Name

Company

*Address

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*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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*Expiration Date:

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