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Join the Estate Club
Wine Club Membership Form
Name
*
First
Last
Email
*
Phone
*
Choose Your Preferred Club Level:
*
Signature Club - 12 bottles, 20% discount, free wine club shipping
12 bottles – 20% discount, free wine club shipping inclusive
6 bottles – 20% discount, $10 flat-fee wine club shipping
4 bottles – 15% discount on wines
Choose Your Wine Preference:
*
Standard Release (Reds & Whites)
Red Wines Release
*Prices vary by selection. You will receive your club level discount off of our retail prices. Our Wine Club members enjoy releases 5 times per year, excluding the Signature Club which is distributed biannually. Our wines are carefully selected for our members enjoyment by management and our winemaker, therefore, we are unable to switch your wines for other selections.
Date of Birth
*
Month
Day
Year
Delivery Type:
*
Please ship my wine
I will pick up my wine
Billing Address
Business Name
If applicable
Billing Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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Northern Mariana Islands
Ohio
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Puerto Rico
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South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Daytime Shipping Address
Shipping Address
Same as Billing
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Business Name
If shipped to a business
Terms & Conditions
You may cancel at any time after at least two wine club pickups. If membership is cancelled before the two pickup requirement is met, the credit card on file will be charged a $50 cancellation fee. Wine not picked up after 30 days of release will be shipped via UPS at your expense to the shipping address on file. It is your responsibility to inform us if your address, contact, or credit card information changes. You will be responsible for any corresponding charges related to mis-shipped, returned, or redirected packages. We are unable to allow you to switch your wines for other selections. Your credit card on file will be charged the week prior to the release for your wine and shipping charges if applicable. No refunds will be permitted after credit card is charged.
Terms and Conditions
*
I have read, understood, and agree to the terms and conditions stated above of the Belle Fiore Club Membership and am at least 21 years of age.
Yes
Upon submission, you will be contacted by a Belle Fiore representative to place a credit card on file.
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