Soquel Vineyards Wine Club Enrollment:

Please either fax or mail this form to:

Fax: 831.464.3440

Mailing Address:
8063 Glen Haven Road, Soquel, CA 95073

Please print clearly. We prefer to ship to a business address.

I, _________________________________(printed name), would like to become a member of Soquel Vineyards' Wine Club, and I give my permission for Soquel Vineyards to charge my credit card every other month for the amount of the two bottle wine shipment plus a $3.00 freight charge.

Date: _____________________  Signature____________________________________

Day Time Phone # __________________________

Name: ______________________________________________________________

Billing Address: __________________________________________

City ________________________ State: ________ ZIP ___________

Shipping Address (if different from Billing address):

_______ __________________________________________

City ________________________ State: ________ ZIP ___________

VISA/MC# ___________________________________Exp.Date: _______

Soquel Vineyards can only ship wine to addresses in the United States. Soquel Vineyards is restricted from shipping wine to anyone under 21 years of age. For the ease of obtaining a signature upon delivery, Soquel Vineyards prefers to ship to businesses.

Warning: Drinking distilled spirits, beer, coolers, wine and other alcoholic beverages during pregnancy can cause birth defects.

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