Cardwell Hill Wine Club

Join Our Wine Club

(Bold/Red must be completed)

 

Member/Billing Information

Name:  
Email:
Phone:  
Street Address 1:  
Street Address 2:
City:  
State:  
Zip:  
Birthdate:         ,      


 

Shipping nformation

 

Ship to:
Name:
Email:
Phone:
Street Address 1:
Street Address 2:
City:
State:
Zip:  
Shipping Method:  
Type of Address:  
Note: Federal law requires that wine shipments to a residence be signed for by an adult or be sent to a business address.
   


 

Gift Information

(Fill out only if sending Club Membership as a gift)
Gift Recipient:
How Long?: 1 Year Ongoing
Email:
Phone:
Street Address 1:
Street Address 2:
City:
State:
Zip:  
Birthdate:      ,      (required if gift)


 

Wine Club Options

Club Type:  


 

Credit Card Information

Card Type:  
Name on Card:
Card Number:   (number only no dashs)
Expiration Date:        


Comments
 

I understand that twice a year I will receive a shipment of Cardwell Hill wine at the shipping address above.  The wines and shipping charges are billed directly to my credit card.   I also know I am obligated to at least two shipments but after that I may cancel my membership at any time with thirty days written notice by letter or email.

  I agree I disagree

 

 

 

 

 

 

Copyright 2005, Cardwell Hill Cellars

11/17/2005 Scripta Communications