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Wine Club Information
Lafond Wine Club
SRH Wine Club
Lafond Wine Club Application Form
Bill to:
Lafond Wine Club Shipments are every three months, the quantity depending on the program selected (two, four, or six bottles). The wine is selected by Winemaker Bruce McGuire and our staff.
The approximate costs shown include shipping (9.50), tax, where applicable, and a 20% discount from the regular price.
Membership can be terminated anytime with a call or email.
Wine shipments are limited to the states listed in the drop down State box.
If you have any questions call us at 805 688 7921 or
877 708 9463 (toll free)
10-5 Pacific Time
We suggest using a work address if you are away from home during the day.
The wine must be signed by someone 21 years of age or over
Name
Address
City
State
States where permitted
Alabama
Alaska
Arizona
California
Colorado
Florida
Georgia
Hawaii
Idaho
Illinois
Iowa
Kansas
Maryland
Michigan
Minnesota
Missouri
Nevada
New Hampshire
New Mexico
New York
North Dakota
Ohio
Oregon
Tennessee
Texas
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
North Carolina
Zip
Work or daytime Phone
Emai
l
Credit Card
CreditCard
Visa
MC
Amex
Card No.
Exp. date
ExpMonth
january
february
march
april
may
june
july
august
september
october
november
december
/
ExpYear
2013
2014
2015
2016
2017
2018
2019
2020
2021
Name on Card
Select Program
SelectProgram
Two bottle (63.00)
Four bottles (123.00)
Six bottles (183.00)
Choose Preference
ChoosePreference
Red and White
All Red
All White
Membership may be full:
please indicate if you wish to be contacted when available
yes
no
If a gift please write address, message and no. of shipments.
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