Join
the Cellar Rat Wine Club
(see
newsletter for other details)
To
join, simply print and fill out this form, then fax or mail
to
Cottonwood Cellars
P
O Box 940, Olathe CO 81425
Fax
970-323-6182
First
Name _________________________ Last Name ________________________
Company
Name _________________________________________________________
Shipping
Address________________________________________________________
City
______________________________________ State _
_ _ Zip _________
Daytime
Phone ______ - _______ - ___________ Home
Phone ____ - ____ - ____
Billing
Address _________________________________________________________
Billing
City _________________________Billing State _ _ _
Billing Zip ___________
Credit
Card Type (VISA, MASTER) _________________________________
Card
Number _________________________________ Exp Date ___
/ ____ (MM/YY)
E-mail
Address _____________________________________
Signature
__________________________________________________
Comments
_________________________________________________________
__
Please, contact me as soon as possible regarding this matter.
By
enrolling, I will receive 4 shipments per year from $35 to
$50 per shipment including shipping, handling and club discount.
I understand that I may cancel my membership at any time by
calling 970-323-6224. My signature certifies that I
am 21 year of age or older.
Due
to state specific restrictions, we are limited as to where we can
ship. Please see the Shipping Info page or
call the winery for more information.
ALCOHOLIC
BEVERAGES MAY BE SOLD AND DELIVERED ONLY TO PERSONS WHO ARE
AT LEAST 21 YEARS OLD. IN PLACING YOUR ORDER, YOU REPRESENT
TO US THAT YOU ARE AT LEAST 21 YEARS OLD. WHEN YOUR
ALCOHOLIC BEVERAGES ARE DELIVERED, THE PERSON RECEIVING DELIVERY
WILL BE REQUIRED TO SHOW IDENTIFICATION PROVING THAT HE/SHE
IS AT LEAST 21 YEARS OLD. COLORADO RESIDENTS MUST SIGN-UP
FOR THIS CLUB AT A COLORADO WINE LICENSED EVENT OR IN OUR
WINERY.
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