READY TO JOIN THE CLUB?

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Choose Which Club(s):*
- Options Wine Club - Two Bottles/Month – $75
- Platinum Wine Club - Two Bottles/Month – $100
- Champagne & Sparkling Wine Club - Two Bottles/Quarter – $130 per billing / $115 per billing for members already
- Collectors Wine Club - Selections will range in price; however, the maximum for this club is $255 per billing. Because extraordinary wines do not come in extraordinary quantity, membership and re-orders are limited.
Credit Card*
Name On The Card*
Credit Card Number*
Expiration Date*
Month
Day
Year
CCV Number*
Acknowledgement*
- Check the box to acknowledge that you ARE 21 Years of age or older and that submitting this form is NOT a guarantee of membership. We will be in contact with you by email or phone the next business day to confirm your membership. When joining one of our wine clubs, club benefits and billing will begin as soon as you receive confirmation of membership.

* REQUIRED FIELDS

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