Order Wine or Join the Wine Club

To sign up for our wine club or purchase wine please complete this form and click the submit button at the bottom of the page. Trish, our General Manager, will be in contact with you to complete the order. Thank you!

First and Last Name

Choose the Club you desire?

Select all that apply. You must select either Polka Dot or Maillot Jaune in order to also be in the Podium or Archive Club.

Please sign me up for The Polka Dot Jersey twice a year, save 20%

Please sign me up for The Maillot Jaune twice a year, save 25%

Red Only

White Only

Mix of White and Red Wine

Please also sign me up for the Podium Club

Please also sign me up for the Archives Club

Date of Birth

YYYY

Phone

(###)

###

####

Email Address

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shipping Address

Same as Billing