It is with great pride that the Crushed Grape offers you a way to expand your palate and your knowledge of wine by offering you our exclusive wine club. We taste many intriguing and exciting wines, and we try but we just can't fit them all on our shelves. We started this wine club to offer the opportunity for customers to experience some unique varietals and lesser known vineyards that are great finds for the price. |
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| Please provide the following information and return to the Crushed Grape in person or by fax to 616.719.2531. |
| Name: ______________________________________________________ |
| Email Address and or phone number:_______________________________ |
| Name on credit card:___________________________________________ |
| Credit Card type and number:____________________________________ |
| Expiration Date:_______________________________________________ |
| Verification Code:______________________________________________ |
Terms of Agreement: I authorize the Crushed Grape to process my credit card according to the wine club membership outlined above. The monthly charge will be billed during the first week of each month. |
| Signature:____________________________________________________ |