ALL ALCOHOLIC BEVERAGES ARE SOLD IN CALIFORNIA AND TITLE PASSES TO THE BUYER IN CALIFORNIA.

ALCOHOLIC BEVERAGES MAY BE SOLD AND DELIVERED ONLY TO PERSONS WHO ARE AT LEAST 21 YEARS OLD. Adult signature required for delivery.

While we encourage you to share information about our Club, you can rest assured that we will protect your privacy and never share your information with others.

Step 1: Shipping & Mailing Information (First Subscription) Please fill in each part of this section.
Name:	(Signature of person at least 21 years old required upon delivery.)
Business Name:	(If Applicable.)
Street:
City:
State:	Please select state Alaska Arizona California Connecticut Florida Idaho Illinois Indiana Iowa Massachusetts Michigan Missouri Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Texas Virginia Washington D.C. Washington State West Virginia Wisconsin Wyoming
Zip Code:
Age:	Month 01 02 03 04 05 06 07 08 09 10 11 12 day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Available states for shipping varies.
Mailing Address (brochures, etc.):	(If same as above: )
Street:
City:
State:	Please select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Country:	United States
Home Phone:
Work Phone:
Email:
Shipping Method:	Ground
Membership Type:	Quarterly Shipments -or- Monthly Shipments
Wine Preference:	Red Wine Only White Wine Only Red and White Wines
Comments:
Is this a gift?	Yes
Gift Card Message:
Additional Membership?	Yes  No If "yes" please fill in each part of the section 1A.

Step 1A: Shipping & Mailing Information (Second Subscription)
Name:	(Signature of person at least 21 years old required upon delivery.)
Business Name:	(If Applicable.)
Street:
City:
State:	Please select state Alaska Arizona California Connecticut Florida Idaho Illinois Indiana Iowa Massachusetts Michigan Missouri Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Texas Virginia Washington D.C. Washington State West Virginia Wisconsin Wyoming
Zip Code:
Available states for shipping varies.
Mailing Address (brochures, etc.):	(If same as above: )
Street:
City:
State:	Please select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Country:	United States
Home Phone:
Work Phone:
Email:
Shipping Method:	Ground
Membership Type:	Quarterly Shipments -or- Monthly Shipments
Wine Preference:	Red Wine Only White Wine Only Red and White Wines
Comments:
Is this a gift?	Yes
Gift Card Message:

Step 2: Billing Information If billing information is the same as the shipping information click here , enter the name to appear on the bill and skip to step 3! Otherwise, please fill in all parts of this section.
Name:
Home Phone:
Work Phone:
Email:
Step 3: Payment Information FOR YOUR SECURITY, PLEASE PROVIDE YOUR PHONE NUMBER AND WE WILL CONTACT YOU FOR CREDIT CARD PAYMENT INFORMATION. ALL ALCOHOLIC BEVERAGES ARE SOLD IN CALIFORNIA AND TITLE PASSES TO THE BUYER IN CALIFORNIA. ALCOHOLIC BEVERAGES MAY BE SOLD AND DELIVERED ONLY TO PERSONS WHO ARE AT LEAST 21 YEARS OLD. WHEN YOU CLICK ON "Complete my order", YOU ARE ELECTRONICALLY SIGNING THAT YOU HAVE READ THE ABOVE STATEMENTS AND CERTIFY THAT YOU MEET ALL THE CONDITIONS OF SALE.