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To join First Call, please print and complete the form, including a signature. FAX , mail or
bring it to Bent Creek Winery, 5455 Greenville Road, Livermore CA. 94550. FAX (925) 449 4134

Name of Member _____________________________________________________

Mailing Address ______________________________________________________

City __________________________________ State _______ Zip ______________

Home Phone (____)_______________ Work Phone(_____)____________________


Master Card / Visa/American Express (circle one) Credit Card Number

|__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__| Exp. Date ______ ______

First Call Options - Circle your wine choice: Reds Only - Red and White - Whites Only

_____ I will pick up my wine at the Bent Creek Tasting Room.

_____ Please ship my wine to my mailing address.
(Business address may be preferred because an adult signature is required for delivery.)
Shipping Address ( if different from above )__________________________________

Street: _____________________________________________________________

City: ____________________________________ State _______ Zip ___________
I certify that I am 21 years or older. I understand that upon delivery, an adult signature is required
and that my packages will not be left at my door. I understand that I am responsible for all costs
incurred as a result of my wine shipment being returned to the winery and for reshipment.
I understand that my credit card will be charged quarterly for my wine (and shipping costs if applicable).
I understand that I may cancel my First Call membership with a written 30-day
notice prior to the quarterly shipment of wine.
All information supplied on this application is held in strict confidence. We do not sell
or give mailing information.

Signature: __________________________________ Date:___________________
Bent Creek Winery 5455 Greenville Rd. Livermore, CA. 94550 (925) 455-6320

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