Wine Club Registration

   

☐  6 Bottle – includes 3 current release Cabernet Sauvignon & 3 Sauvignon Blanc (March)    

  $270.00 + tax shipping included

☐ 6 Bottle -selection of our Cabernet Sauvignon current release (Oct)    

 $380.00 + Tax shipping included

OR

☐ Both- March and October shipments

Selection will ship in March and October, credit card charged at time of shipping.

                                                                   

 

BILLING INFORMATION –(required)

Please print clearly

Name: ___________________________________________________________

Address:____________________________________________________

City: ____________________________, State_____________________________

Zip Code: ______________ Phone# ________________________________

Email: ___________________________________

 

Staff:

Paid date:____________      Date entered into system: _______________        

………………………………………………………………………………………

 

Credit Card Number: ___________________________________ Exp. Date:_____________

 

Name on Card:____________________________________________ Code:_____________

 

 

SHIPPING INFORMATION – (required)

By law, all club shipments require an adult signature of 21 years or older at the time of delivery, therefore a business address is preferred. We cannot ship to P.O. boxes.

☐  Same as the Billing Address

 

Name: __________________________________ Date of Birth: ___________

Shipping Address:

______________________________________________________________

State_____________________________

Zip Code: ________________________

Email: ___________________________________

Cell phone: ______________________ Home phone:____________________

 

I understand and agree to the following statements:

1) I must be at least 21 years of age,    2) a person of 21 years or older must sign for the wine shipments upon delivery, 3) wine club packages will be charged to my credit card prior to each shipment,  4) Stout Family Wines reserves the right to alter or change the wine club benefits at any time, and  5) club subject to change with prior notification.

 

Signature ________________________________________________

Today’s Date _______________

Ships UPS Ground

Stout Family Wine Club currently ships to the following states: CA, NV, TX, IL (pending) Shipping laws are continually changing. Please visit our website for the most up-to-date information on where we can ship.

 

 

TERMS AND CONDITIONS

• Membership benefits are effective after first club shipment is sent. Members who join a club during the month that it is shipping will receive that shipment.
• The credit card on file will be billed prior to the scheduled date of each shipment. Please contact us as soon as possible with updated billing, contact or shipping information.
• All club shipments require an adult signature of someone 21 years or older at time of delivery. We recommend shipments be sent to a business address.
• All club shipments and orders are subject to sales tax if applicable.
• It is the member’s responsibility to notify us of address changes before club shipments are processed. The member is responsible for any charges incurred for redirected or returned shipments.
• Stout Family Wines is not responsible for temperature fluctuations during or after shipments. All shipments are subject to weather holds.
• Most member communication is sent via email. Please notify us immediately if your email address changes.
• Stout Family Wines reserves the right to alter or change the wine club benefits at any time. Club prices and shipping rates are subject to change with prior notification.

 

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Initials