Club Online Registration

WINE PROGRAMS

Please select the program of your choice

Village

3 Bottles 3 month $186 6 month $372  12 month $744
6 Bottles 3 month $360 6 month $720 12 month $1440

Premier-Cru

3 Bottles 3 month $276 6 month $552 12 month $1104
6 Bottles 3 month $540 6 month $1080 12 month $2160

Grand-Cru

3 Bottles 3 month $366 6 month $732 12 month $1464
6 Bottles 3 month $720   6 month $1440 12 month $2880

DELIVER TO ADDRESS
Name
Address
City, State, Zip
E-mail address
Phone Number
I will pick up the wine     Please deliver to the above address
Option: Delivery available in Howard County only with minimum $100 per month order
All final applications must be made in person at i.m.Wine.
BILL TO ADDRESS
Name
Address
City, State, Zip
E-mail address
Contact phone number
PAYMENT OPTION
Month to Month   Prepaid
We accept all major credit cards and corporate checks.  Initial order must be placed in person at i.m.Wine.
We will contact you for payment information.

8180 Maple Lawn Boulevard, Fulton, Maryland  20759
Phone:  240.456.0330, Fax:  240.456.0333
Hours: Monday thru Saturday 10:30-7:30