The Lion's Den
To apply for membership please complete all questions.
Name
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Last Name
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Address
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Street Address Line 2
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Ship
Pick Up
This is a Gift Membership
Server Name:
Billing Information
Name on Credit Card
Company
Billing Address
Address
Street Address Line 2
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Postal / Zip Code
Payment Information
*
VISA
MASTER CARD
AMERICAN EXPRESS
DISCOVER
Call me for Credit Card Number
Authorize:
I authorize Lorenzi Estate Wines to bill my credit card for wine club fees 6 times a year, including applicable tax and shipping costs. I certify that I am at least 21 years of age and that the person receiving and signing for each shipment is also at least 21 years of age. Membership may be cancelled anytime after receiving three shipments. Cancellations and changes to address of credit card information must be made in writing by the last day of the month prior to each shipment to avoid shipment delays and additional shipping costs. Wine Club members do not receive free wine or items but, rather, pay for all benefits and wine received during the course of membership as part of The Wine Club shipment costs. The Wine Club pickups must be made within 30 days of notification of each shipment or the package will automatically be shipped to the member and their credit card billed for applicable shipping charges. Membership benefits subject to change without notice. I have read and understand the information above.
Signature
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Apply for Membership
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