Name *

First Name

Last Name

Phone *

(###)

###

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Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Checkbox

I will pick up my wine

Please ship my wine

Shipping Address (if different from billing)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Checkbox 1

Shipment prices range from $90 to $110. Credit cards are charged two weeks before pickup or shipment. Shipping and handling costs are additional; however,. Delivery of shipments requires an adult signature.Memberships cancelled prior to receiving 6 shipments are subject to a $50 cancellation fee.

I agree to the terms of the Cellar Club & certify that I am at least 21 years of age.