Paso Robles Rhone Ranger Wines - Edward Sellers Vineyards & Wines

Edward Sellers Vineyards and Wines

Please complete the following information:

	Yes, I want to become a Cellar Club Member and receive two wine club shipments per year, six bottles each in March and November, of approximately $165.00-$195.00 per shipment. This price includes all California sales tax, environmental friendly packaging and FedEx Ground shipping.
	Yes, you may bill my credit card when the wines are shipped.
	Yes, I am 21 years of age or older and understand the law requires an adult 21 years of age or older to sign for wine deliveries.

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Payment Method: (*required fields)

*Cardholder’s Name:

*Card Type:

*Card Number:

*Expiration Date:

*Verification Number:

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Credit Card Billing Information:

*Full Name:

*Address (Street):

*Apt. # or Suite #:

*City:

*Billing State:

*Please note the allowed shipping states below

*ZIP:

*Country:

*Daytime Phone:

*Email Address:

*Confirm Email Address:

Date of Birth:

(Month/Day/Year)

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Member’s Shipping Information: (Business addresses are preferred)

Select if same as Billing Address

*Full Name:

Business:

*Address (Street):

*Apt. # or Suite #:

*City:

*Shipping State:

Listed are the allowed shipping states

*ZIP:

*Country:

*Daytime Phone:

Comments:

**Your membership information will be submitted securely.**
Edward Sellers Vineyard & Winery understand your concerns about the security of online transactions. Therefore, our site is equipped with the most advanced Secure Socket Layer (SSL) technology available to ensure the privacy of any information you submit through this site.