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Cellarmasters Wine Club (Malaysia)

Subscribing Member Information Form

Please fill in all the required fields with the * besides.

YES! I wish to subscribe to the Malaysia Cellamasters Wine Selections. Please send my first mixed case(full or half size depending on my standing ordering below) containing a mix of 3 Reds and 3 Whites. Then, every two months send me the wine indicated below.

Please indicate your choice(s):

Full Case

International Selection Two types each from Australia And Other Countries

Please choose 1 package below:

M-1A: Mixed Reds & Whites Whites
2 bottles each of 3 Reds and 3 Whites

R-1A: All Reds
2 bottles each of 6 Reds

Half Case

International Selection from Australia and other countries

Please choose 1 package below::

M-1B: Mixed Reds & Whites
1 bottle each of 3 Reds and 3 Whites

R-1B: All Reds
1 bottle each of 6 Reds

Create Your Cellarmaster Wines ID
Email		* ( Enter your email address )
Password		* (6 - 10 Chars Case Sensitive)
Verify password
Personal Account Information
First Name		*
Last Name		*
Tel (Home)		*
(Work)
(Fax)
Mailing Address		*


Delivery Address		Same as mailing address




Credit Card Information
*		Card No. *
		Expiry Date *

Member's Preferences ( optional )
Wine Type
Wine Style 1
Wine Style 2
Price
Wine Dinner Costs
Wine Dinner Frequency
Correspondence Method
Others

I wish to enroll in the Cellarmasters Wine Club as a subscribing member. I understand that the annual membership fee is RM$ 50 and hereby authorise Cellarmaster Wines (Malaysia) to debit my credit card account with the appropriate amount for my wine purchases prior to delivery.