Club Zin - Wine Club Change Request
NOTE: Changes for the following month must be submitted by the 15th of this month.
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Birthdate *
MM
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DD
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YYYY
Club Zin 4-digit PIN *
Your answer
My membership currently includes ONE bottle of wine each month. I would like to change my selection TO:
My membership currently includes TWO bottles of wine each month. I would like to change my selection TO:
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