Temecula Hills Winery.

Wine Club Sign Up

Club Type:	All Wines Red Wines White Wines
	2 Bottle 4 bottle 6 Bottle 12 Bottle
First Name:
Last Name:
Email Address:
Billing Address
Company:
Address:
City:
State:	Zip Code:
Billing Phone Number:
Alternate Number:
Shipping Address
Check one of these if they apply. Otherwise fill in Shipping Information	Pick Up Same As Billing Address
Company:
Address:
City
State:	Zip Code:
Shipping Phone Number:
Alternate Number:
Delivery Instructions:
Payment Information
Type of Card:
Card Number:	Exp Date:
Birth Date:	Year:

By signing this membership application, I certify that I am at least 21 years or older. I am aware that the government requires wine shipments to be signed for at the time of delivery by an adult 21 years or older. Deliveries cannot be made to P.O.Boxes or where prohibited by law.

Temecula Hills Winery 47200 De Portola Rd Temecula, Ca. 92592 951 767-3450

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