Club Membership Registration Form

Wine Club Membership Registration

Complete the form below to sign up for Base Camp Wine & Co. Wine Club!
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
Membership Type (you are welcome to choose multiple clubs)*

Explorer, 2 reds and 1 white quarterly with an average of $25/bottle (club release months are February, May, August, and November)Adventurer, 2 reds or whites monthly ranging between $45-65/bottle (club release months are January, April, July, and October)Sommelier, 1 red quarterly ranging between $145-195/bottle (club release months are March, June, September, and December)
Preferred way to contact

PhoneEmailAny
Membership Policy
Wine club members agree to charges for their club wine on the first of the month (monthly or quarterly depending on membership type). Members will give Base Camp Wine & Co. 30-days notice for cancellation of their club membership in order to avoid any upcoming club wine charges.
I have read, understood, and accepted the MEMBERSHIP POLICY.
Where did you hear about us?

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Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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Wine Club Membership Registration