Qty	Item	Description	Price	Total
	Subtotal	$0.00

AO Club 6 Bottle

You will enjoy four to six shipments of four bottles of wine per shipment over the course of the year. Your credit card will be automatically billed for the cost of wine and shipping prior to each shipment.

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Club Information:

Level: AO Club 6 Bottle (6 Bottles/Shipment)
Frequency: Bimonthly (every 2 months)

Billing Information

Enter your billing information as shown on your credit card statement.

*Birth Date

*First Name

*Last Name

Company

*Address

*City

*State

*Zip Code

*Phone

*Email

Club Notes

Shipping Information

*Birth Date

*First Name

*Last Name

Company

*Address

*City

*State

*Zip Code

*Phone

*Email

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Enter your billing information as shown on your credit card statement.

*Credit Card:

*Name on Card:

*Credit Card Number:

*Expiration Date:

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