Club Membership Registration Form

La Familia Vino Club

Complete the form below to join La Familia.
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Club Level (Two Releases Per Year | Spring & Fall)*

4 bottles per Club Release: $100 avg. per release6 bottles per Club Release: $160 avg. per release12 bottles per Club Release: $300 avg. per release *Wait List*
Delivery Preference*

Pick-up (Wine can be picked up at our estate vineyard in Dayton, OR)Ship (FedEx Shipping cost will be added)
Membership Terms and Conditions
1. Membership is available to anyone 21 years of age or older. An adult over the age of 21 is required to sign for wines upon delivery and/or pick-up of wine club releases.

2. Club membership will auto-renew every year, membership may be canceled after 2 shipments. Email Leo@alumbracellars.com to cancel your membership.

3. Any changes in contact information should be forwarded to Leo@alumbracellars.com immediately to avoid shipping delays and/or charges for returned shipments. Any additional charges with returned shipments will be the responsibility of the club member.

4. You will be notified before your card is charged. No deposit is required today.
*

I have read, understood, and accepted the terms and conditions for membership.I declare that I am at least 21 years of ageI authorize Alumbra Cellars Inc. to auto bill my credit card for my wine club purchases
Signature

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Once you submit, we will review and contact you to collect credit card information.

Thank you for supporting our family vineyard and winery!
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La Familia Vino Club

Membership Terms and Conditions