Agape Winery

Agape Winery Wine Club Membership Application

Join our Agape Winery Wine Club and enjoy the many extraordinary benefits that are available to wine
club members only! In this club you’re not just a member, you’re part of our extended family so please
come taste and see and enjoy! The perks of this wine club include....

- 20% discount on four bottles of specially selected wines by our winemaker shipped directly to you four times
yearly (March, June, September, and December) or you can choose to pick them up at the tasting room
during normal business hours.
- 25% case discount
- 15% wine and merchandise discount
- Referral rewards
- Complimentary wine tasting for you and one guest with each visit
- FREE to join and can cancel in writing any time after receipt of two shipments
- Special invitation to enjoy one complimentary glass of wine on us during your birthday month
- Invitation and discounted tickets to Winery events

Name

First Name Last Name

Date of Birth

Date Date Picker Icon

Business Name

Daytime Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email

example@example.com

Phone Number

Area Code Phone Number

Are you a returning customer?

Yes No

Are you a new customer?

Yes No

How did you hear about us?

What is your preference in wine for pick up order?

Reds Whites Sparkling Mix

Terms and Conditions:
Agape Winery wine club shipments average $80 per shipment plus tax and shipping. Prior to shipping, your credit card will be automatically billed for the shipment of the wines. Members, who elect will call pick-up, have 30 days from billing to take delivery of wines. After 30 days, Agape Winery reserves the right to send shipment to address on file, using the credit card on file to cover shipping fees. If you would like to cancel your membership, you can do so in writing after receipt of two shipments. Cancelling before will result in a $50 early termination fee. Must be 21 years of age or older and this offer is void where prohibited by law.