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Raffaldini Vineyards
450 Groce Rd
Ronda, NC 28670
(P) 336.835.9463
(F) 336.835.9330
wineclub@raffaldini.com
La Famiglia
Wine Club
Enrollment Form
Name (as appears on card):
Credit Card Billing Address:
Street:
City:
State:
Zip:
Credit Card Number:
Expiration Date:
Signature of Card Holder:
(must be 21 or older)
Shipping Address: (NO PO BOXES /Business address encouraged)
Name:
Street:
City:
State:
Zip:
Telephone:
Telephone:
Email:
Special Shipping Requests:
We are currently able to ship to: WA, OR, CA, TX, NV, ID, WY, ND, SD, CO, AZ, NM, NE, MN, WI, IA, IL, MO, LA, FL, NC, SC, GA, AL, MD, DC, VA, NH, VT, CT, NY and PA
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