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Cellarmasters Wine Club (Shanghai)
Non-Subscribing Member Information Form

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

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 ￥500 and hereby authorise Cellarmaster Wines (Shanghai) to debit my credit card account with the appropriate amount for my wine purchases prior to delivery.