Wine Fellowship 2008 Application

Please fill in the following information to join as new member or rejoin as continuing member for the 2008 Wine Fellowship Program. Remember Gold Members pay once annually (in 2008 the total =$175 plus applicable sales tax) but Gold Members benefit with Free Shipping and an extra 10% discount on everything.

Please Print this form and then FAX to 530-620-6838 until such time as I can get my internet host server to support the submit button below. My apologies for my shortcomings with my web site.

Please provide the following membership information: First, Choose Gold Membership. Second, choose Ship or Hold as the way you want to receive your Pre-release Wine paks. Third, choose Automatic Renewal unless you want to remember to renew each year yourself.

'1' = yes	Choose from the options below
	Sign me up as a Gold Member of the Wine Fellowship
	Ship wine releases to the address below
	Hold wine at tasting room for pickup within 30 days
	Automatically renew my membership each year

	BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Email

Wine Fellowship 2008 Application

Wine Fellowship Application.Copyright © 2008 [Fitzpatrick Winery & Lodge]. All rights reserved. Revised: July 31, 2008

Wine Fellowship Application.
Copyright © 2008 [Fitzpatrick Winery & Lodge]. All rights reserved.
Revised: July 31, 2008