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Wine Club
Membership Application
Membership Purchased:     £   For Myself     £  As a Gift
 
Membership Type:
 
£ Price Point Member ~ $65.00 lifetime membership fee                                
 
£ High Point Member ~ $100.00 lifetime membership fee
 
Billing Address:                                                                                                      
 
Name:   ______________________________________
 
Address:   ____________________________________
 
City: ________________ State: _____  Zip: __________
 
Phone:  ______________________________________
 
Email:  _______________________________________  
 
Shipping 
Address:                                                                                                      
 
Name:   ______________________________________
 
Address:   ____________________________________
 
City: ________________ State: _____  Zip: __________
 
Phone:  ______________________________________
 
Email:  _______________________________________  
Wine shipments require a signature of an individual at least 21 years of age at time of delivery.  Please provide a shipping address where a signature can be obtained during regular business hours.  The cost of shipments & shipping charges vary, depending on the wine included.  Currently shipping is only available in select states.  Please call us to find out if your state qualifies.
 
Payment Information:
 
£Check ~ Wine shipment information will be mailed or
        emailed one week before the scheduled ship date.
        Payment can be mailed to Windy Point Vineyards.
        Wine can not be shipped until payment is received.
 
£   Credit Card
 
£    VISA      £    MASTERCARD
 
Card Number:   __________________________________
 
Expiration Date:  _________________________________
 
I certify that I am 21 years of age or older and give permission to Windy Point Vineyards to charge my credit card for each shipment at the time of shipping.
 
Signature:  _____________________________________
 
Date of Membership:   ____________________________
 
Driver's License Number / State:  ____________________
 
 
Please print this form and mail back to
Windy Point Vineyards
420 Windy Point Drive
Wapato, WA 98951
If you are uncomfortable sending credit card information through the mail, please send in the form with your signature and call us with you credit card information.  Phone:  (509) 877-6824 or office (509) 877-4446.  Thank you & enjoy!