All fields marked with an * are required

Check One: Pickup Please Ship *

Member Information:
Name: * Address 1: *
Email: * City: *
Home #: * State: *
Work #: Zip:  *
       
Address: Home or Business *
Note:Federal law requires that wine shipments to a residence be signed for by an adult or be sent to a business address.
A Gift?: Yes No   (if gift, no receipt will be included with shipments/pick-up)
       
Shipping Information
Name: * Address 1: *
Email: * City: *
Home #: * State: *
Work #: Zip: *
       
Comments:
       
 

We will use your personal information only to communicate with you by email or phone.  We will not share it with anyone.  We do not take cardit card information online; we will contact you to gather that information.

By agreeing to become a member of the Trio Wine Club, you understand that your credit card will be automatically billed for two wine shipments per year.  You represent that you are at least 21 years old and that the persons to whom the wine is being shipped are at least 21 years old.  If you are shipping wine, you accept sole responsibility for shipment of the wine to your state, and you authorize us to act on your behalf to engage a common carrier to deliver your wine. Membership may be cancelled at any time after acceptance of the first shipment.  We request cancellation in writing by email or mail with four weeks notice.

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