Become a Wine Club Member Wine Club Sign Up *First Name *Last Name *Address Address 2 *City *State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip Code *Phone *Email Opt into mailing list *Username *Password *Confirm Password *What is your birthdate? (Required for compliance) Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 *I understand that I will receive an email inviting me to complete my membership: I must add a credit card to my member profile. Yes No *Please Confirm your Club Choice Magic - 3 per release; 6 bottles annually Pure Yum - 6 per release; 12 bottles annually Iris - 12 per release; 24 bottles annually Rockpile - 24 per release; 28 bottles annually *I agree to be charged for my first club release upon enrollment. A shipping hold may apply due to local weather conditions. Yes No *I agree to receive at least 2 club releases Yes No *Delivery Options Ship my wine to me in February & September. *Weather holds may apply I will pick up at the Healdsburg Tasting Room Pickup in February & September As a will call member, I agree to pick up within 30 days of release. If my order is not picked up with this timeframe, I agree to pay a shipping fee, charged to my credit card and my wine will be shipped to the address on file. Yes No *I understand that I will receive the current club release upon enrollment. Any orders that I place will not be considered a club order but made in addition to the scheduled member release. Yes No *If after 2 club releases, I wish to cancel my membership, I agree to notify the winery of my wish to cancel at least 30 days in advance of the release months: February and September. Yes No Leave this field blank: Submit