Qty	Item	Description	Price	Total
	Subtotal	$0.00

OKAPI Gold

12 bottles delivered directly to your home or office in April and October
Receive pre-selected wines, or customize your shipments
15% off all wine purchases
Complimentary ground shipping on all orders
Complimentary tastings for you and a guest
VIP handling of gifts, visits and special requests
Free gift wrapping
Preferred access to limited releases and special offers

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12 bottles delivered directly to your home or office in April and October
Receive pre-selected wines, or customize your shipments
Complimentary tastings for you and a guest
VIP handling of gifts, visits and special requests
15% off all wine purchases
Free gift wrapping
Complimentary ground shipping on all orders

Billing Information

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*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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