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Choose your membership type:
Vintage $75/month
Premium $125/month
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Credit Card Number :  Enter your credit card number
Name on Card :  Enter the name of the credit card holder
Expiration Date :  / Enter Card Expiration Date
Membership Agreement

By agreeing to join the Private Wine Club, you understand that your credit card will be billed once a month for the appropriate charge of either $75 (vintage membership) or $125 (premium membership).  You also acknowledge that you are the legal, authorized, signor for the credit card that you have provided and will assume all liabilities therin.
I understand and agree with the above statement
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