Holiday Gift Order Request

Custom Gift Set / Large Order Request

Whether you're customizing a gift for a loved one or shopping for employee appreciation gifts, Halter Ranch will handle the stress of coordinating custom gifts and corporate orders. Please complete the form below for personalized service, and our Wine Club Team will provide a quote within 2-3 business days. We recommend shipping to a business address for all wine deliveries, as a signature from someone at least 21 years of age is required. Please include the company name and suite number, if applicable. Note that shipping rates and taxes are not included in the package price and may vary.
Your Name

First NameLast Name
Email
example@example.com
Are you a Wine Club Member?*

YesNo
Would you like to charge the card on file?

YesNo
We will follow up with you in 2-3 business days to gather your preferred payment method. How would you prefer to be contacted?

EmailSMSCall
Phone Number
Please enter a valid phone number.
Date of Birth (Must be 21 years old or older to purchase) *

MonthDayYear
Date
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred delivery date?*

MonthDayYear
Date
Number of Gift Recipients
Gift Selection (please note custom orders are subject to availability)*
If you chose a 'Custom' Gift Selection above, please specify the vintage, name, and quantity of wine you would like in each gift set below. *Custom orders are subject to availability
Would you like to include a gift message with each gift? If so, what would you like the message to say?
Additional Comments

Single Gift Order Request
Recipient's Name

First NameLast Name
Recipient's Email
example@example.com
Recipient's Date of Birth (Wine deliveries require signature from someone 21+ for release) *

MonthDayYear
Date
Recipient's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Multiple Gifts Order Request
Please complete and submit the Multiple Gifts Order Form and submit it below. Our Wine Club Team will handle all of the order entry administration and send you a price quote for approval.
Cancelof

SUBMIT ORDER REQUEST
Should be Empty:

Custom Gift Set / Large Order Request