Mailing List and Wine Club Request Form

 Name       
Address   
City          
State       
Zip           
*Phone   
Fax         
*Email     


Wine Club Preferences

YES, I am interested in joining your Monthly Wine Club and Monthly Newsletter. 
My selection and preferences are indicated below.  I understand you will call me for credit card information.

I am interested in receiving the Monthly Newsletter only.

Wine Lover $25.00 (2 bottles)  Reds Only   Whites Only   One of Each

Master $40.00 (3 bottles)  Reds Only   Whites Only 
  2 Reds /1 White  2 Whites/1 Red

 Oenophile $50.00 (2 bottles) Reds Only   Whites Only   One of Each

Additional Questions or Comments; 


*Required to submit form.  Tax added to final price.


If you have questions or comments please contact us or visit our store for details and benefits.