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 shipments Spring & Fall) *

Sabor Club 4 bottles per shipment: $80-$120 per shipment Alumbra Club 8 bottles per shipment: $140-$200 per shipment
Club Type *

Red Only Rosé Only White Only Mix
Delivery Preference *

Pick-up in Dayton, Oregon (You will be notified of pick-up 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 your application, we will review and contact you to complete your membership application.

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

Membership Terms and Conditions