Club Membership Registration Form

La Familia Vino Club

Complete the form below to join La Familia.
Name *

First Name Last Name
Date of Birth *

Day Month Year
Date
E-mail *
Phone Number: *

Area Code Phone Number
Address: *

Street Address

Street Address Line 2

City State / Province

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

4 bottles per Club Release: $100 avg. per release 6 bottles per Club Release: $160 avg. per release 12 bottles per Club Release: $300 avg. per release *Wait List*
Club Type *

Mix Rosé & Bubbly Red Only
Delivery Preference *

Pick-up in Dayton, Oregon (You will be notified date/time) Ship (FedEx Shipping cost will be added to club order) Local Delivery (Available free to local club members)
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 wine club releases.

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

4. You will be notified before your card is charged for your Spring and Fall club release. 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 age I authorize Alumbra Cellars Inc. to auto bill my credit card for my wine club purchases
Signature

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

Thank you for supporting our family vineyard and winery!
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

La Familia Vino Club

Membership Terms and Conditions