Join Us – 6 Bottle Club

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Get a lifetime of benefits.
Name(Required)
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Select your favorite wine
Wine Preferences?(Required)
- Red
- White
- Both
Favorite Wine Varietals ( Select Three )

Provide your billing address
Billing Address
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Birthday(Required)
Is this a gift membership?
- Yes
- No

Provide your shipping address
Provide the recipient address
Recipient Name(Required)
First Name Last Name
Mobile Number(Required)
Shipping Address
Same as billing

Street Address City State / Province / Region Zip Country
Birthday(Required)
Gift Message

Provide additional information
Are you a member of Kappa Sigma?(Required)
- Yes
- No
If you answered "No," what is your affiliation?
Select your school:(Required)
Initiation Year
Is Your Partner in a Greek Organization?(Required)
- Yes
- No
If yes, which one?

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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A $50 non-refundable deposit will be processed to secure your first allocation. This amount will be applied towards your club shipment.

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Kappa Sigma

1869club@12thgatenapa.com
(707) 353-5518

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