thePENDULUMclub
membership form
To Join the Pendulum Club please click on your print option to print form and fax or mail back to:
Cline Cellars, 24737 Hwy 121, Sonoma, CA, 95476 or FAX 707/935-4319.
Ship to:
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Bill to:
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Name:
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Name:
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Address:
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Address:
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City, State, Zip
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City, State, Zip
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Telephone:
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Telephone:
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Credit Card Number
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Exp. Date Visa MC Amex (Circle One)
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Signature
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Email Address:
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This membership represents a one-year agreement to receive 3 bottles of wine at a one-time 25% discount, with a minimum of four additional wine shipments throughout the year. _______Please initial that you under stand the one-year agreement.
Must be 21 years of age.
Due to individual state laws, we are able to ship wine only to following states: California, Colorado, Idaho, Illinois,
Iowa, Minnesota, Missouri, Nebraska, New Mexico, Oregon, Washington, Wisconsin and West Virginia.
WINERY USE ONLY: Host:____________________Date:_____________Membership #:__________
WINERY PICK-UP_____ SHIP________