o Red: Pinot Noir, Merlot, Cab, Blend, Malbec, Zin, Sirah, Others (. ) o White: Pinot Grigio, Sauvignon Blanc, Riesling,
Wine Club Membership Form Method of Delivery: ( ) In Store Pickup ( ) Free Local Delivery* Wine Club Selection: ( ) Red/Red ( ) Red/White ( ) White/White •
Please circle your varietal preferences if any: o Red: Pinot Noir, Merlot, Cab, Blend, Malbec, Zin, Sirah, Others ( ) o White: Pinot Grigio, Sauvignon Blanc, Riesling, Chardonnay (Oaked or Unoaked), Blend, Others ( )
Bill-To Information Name: Address: City:
State:
Zip:
Phone: (
)
-
Email : Referred by
Credit Card Information Credit Card Type: ( ) Visa ( ) MC ( ) Amex ( ) Discover CC#: Exp Date: Validation Code: Signature:
Date:
Monthly Club Costs** There is no fee to join the club. Club costs are for two bottles combined; excluding tax. Please fill in the desired price ranges for two bottles of wines. Club Red: $
-$
Club Red/White: $
-$
Club White: $
- $
20B E. 2nd Street, Ocean Isle Beach, NC 28469 P: (910) 393-2125 W: www.CoastalWineRoom.com E:
[email protected]
Club Benefits Club Members receive two bottles of premium wine each month based on your club membership. Each monthly club package includes: • • • • •
Two bottles of specially selected wine Private club tasting the 1st Wednesday of the month No corking fee 5% discount toward purchases of six (6) or more bottles, mix or match (sale priced items may be used to build toward discount level; however, discount will apply only to regularly priced items) Members may request to change clubs at any time prior to the 25th of the month prior
The Not-So-Small Print * Free local delivery limited to Ocean Isle Beach, Sunset Beach, and Calabash NC. Delivery requires the signature of an adult, 21 years of age or older. ** There is no fee to join the club. Club costs are for two bottles combined; excluding tax. Each month you will be notified via E-mail that your wine has arrived and is ready for pickup. Your credit card will be automatically billed for each month’s wine selection between the 25th & 27th of the month prior to the month’s selection. The Coastal Wine Room is not and will be not responsible for any non-sufficient fund charges to your account. Discounts cannot be combined with any other offers.
A membership may be cancelled at any time prior to the 25th of the month prior to your wine pick up by writing Coastal Wine Room, 20B E. 2nd Street, Ocean Isle Beach, NC, emailing
[email protected].
20B E. 2nd Street, Ocean Isle Beach, NC 28469 P: (910) 393-2125 W: www.CoastalWineRoom.com E:
[email protected] 