NAME *

First Name

Last Name

PHONE *

(###)

###

####

DATE OF BIRTH *

MM

DD

YYYY

BOTTLE QUANTITY *

I would like to receive 6 bottles per shipment.

I would like to receive 12 bottles per shipment.

SHIPPING PREFERENCE *

Please ship my wines to the address provided below.

I will pick up my wines at the winery.

SHIPPING ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

BILLING ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MEMBER AGREEMENT *

I have read, understand, and will adhere to the requirements of membership. I agree to receive a minimum of three allocations (1 year of membership) or understand I will be charged a $75 termination fee. I am agreeing to and will abide by the terms set forth in Soter Vineyards’ wine club policies and shipping policies. Paid wine orders left beyond six months at our winery will incur automatically charged storage fees and could ultimately become forfeit.