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Dover Canyon Winery • 4520 Vineyard Drive • Paso Robles, Ca • 93446

Fax: (805) 237-9191 • Email: dovercanyon@tcsn.net

 

I would like to Join the:

Rhone to Bone Club	20% Discount	3 bottles per shipment	(1 of  each wine)
Silver Club	25% Discount	6 bottles per shipment	(2 of each wine)
Gold Club	30% Discount	12 bottles per shipment	(4 of each wine)
Rare, Reserve, & Estate	Your wine club discount	2-3 bottles annually

 

♦ I acknowledge that an adult signature is necessary for the receipt of wine, and I accept that there will be a redelivery fee of $15 to $30 charged to my card for returned packages if an adult signature is not available.  Initial_______

♦ I acknowledge that I may cancel at any time, after one year, with 30 days written notice. Initial________

♦       Would you prefer to have your wine club selections held for pickup?    There is a 60 day time limit

YES_____        NO_____

 

Name____________________________________________________________________________

Shipping address                    _______ Business ________ Residential

__________________________________________________________________________________

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Phone______________________  Email_________________________________________________

Card Number______________________________________________________Exp. Date_________

(We accept all major credit cards)

Application date: _________ Send Current Selection?_______Date picked up__________

Signature_______________________________________________________________________