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Should you choose to become a member of the Mayfield Vineyard Platinum Wine Club this is what we can offer you
You will receive discounts on wine purchases and mixed dozens delivered to your door four times a year
What you need to do to take advantage of this offer
Fax or post the completed form below to:
Mayfield Vineyard
Fax: 02 63659281
email: sales@mayfieldvineyard.com
Mayfield Vineyard
954 Icely RD
Orange
NSW 2800
Name:__________________________________________________________________
Address:______________________________________Town: ______________________
State: _______________________Postcode: _________________________________________
Email: __________________________________________________________________
Delivery Address: _________________________________________________________
Address:___________________________________Town: ________________________
State: _______________________Postcode: ___________________________________
Delivery Instructions: _______________________________________________________
Payment Type : VISA MASTERCARD AMEX
Card Number :____________________________________________________________
Expiry Date : ________________Name on the Card:______________________________
Signature : ____________________________Date:_______________________________
Please read & Sign at the bottom of the page
I have read and understand the terms and conditions of my membership. I understand that to be a member of theMayfield Vineyard Wine Platinum WIne Club and receive discounts I am required to purchase a minimum of four membership dozens annually as and ongoing commitment.
My minimum length of membership is 24 months or 8 deliveries. I can cancel after this time in writing.
As an Mayfield Vineyard Platinum Club Member I authorise Mayfield Vineyard to debit my credit card, and any card issued to me in renewal or replacement thereof, with the cost of my Wine Club dozens when they are dispatched in quarterly. I understand mydozens will be delivered automatically unless I advise Mayfield Vineyard prior to dispatch.
I declare I am 18 years or older
Signature: __________________________________________
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