Wine Tasting and Networking!
June 16th Wine Tasting
RESERVATION FOR:
Current Member(s) @ $20* =
New Member(s) @ $50** =
Your Name
Firm
Street Address
City State Zip
Telephone Email
Bringing a new member? Please list their name and email address here and we’ll send them a membership application:
TO PAY BY CREDIT CARD: Enter ALL of the information requested below
Cardholder’s Name
Account Number
Expiration Date **Security Code
Billing Address
City State Zip
** For MasterCard, VISA and Discover, the security code (usually 3 digits) is located on the back of the card in the signature panel after the last 4 digits of the card number. For AMEX, the 4-digit security code is located on the front of the card, right above the account number.
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