Melrose Vineyards

Cellar Club Member Information
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Check One or More:	Business Home Gift Note:Federal law requires that wine shipments to a residence be signed for by an adult or be sent to a business address.

Gift Information
(Fill out only if sending Club Membership as a gift)
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Comments:
Security Question:	What if you had six apples and someone handed you a dozen more. How many would you have? Enter number below:
By agreeing to become a member of the 'Melrose Club', I am at least 21 years of age and my credit card will be billed 4 times per year just prior to receiving my seasonal bottles; each billing not to exceed $55.00 to $65.00 PLUS SHIPPING for quarterly deliveries. I can cancel my membership at any time with 30 Day Written Notice after my first 2 shipments. I agree I disagree