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VIP Membership
Thank you for joining the 503 Uncorked VIP Membership. Please complete the questions below and HIT Submit. They follow the link to Paypal to submit your payment. We will follow up to give you your member card(s) and swag bag.
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* Indicates required question
Email
*
Your email
Membership Type
*
Individual
Couple (must be same household)
Name
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Spouse/Partner Name
Your answer
Spouse/Partner Email
Your answer
Primary Phone
*
Your answer
Spouse/Partner Phone
Your answer
Birthday(s)
*
Your answer
Anniversary
Your answer
Your membership includes Swag! Pick One
*
Hat
T-shirt
Required
Favorite Wine/Winery
Your answer
Favorite Whiskey/Distillery
Your answer
Favorite Beer/Brewery
Your answer
What type of events are you interested in?
Your answer
Customer consents to receive email/sms communications
*
Yes
No
INDIVIDUAL - $95
COUPLE - $145
A copy of your responses will be emailed to the address you provided.
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