Vintage New York: Join Cellar Door Wine Society


First Name			Bold fields are required Italic fields are optional
Last Name
Email Address
Phone Number
Fax Number
Company
Address1
Apt/Suite #
Address 2
City
State/Province
Zip/Postal Code
Country


First Name			Bold fields are required Italic fields are optional A PHYSICAL ADDRESS IS REQUIRED. WE CANNOT SHIP TO POST OFFICE BOXES An Adult (over 21) MUST be available to sign for the delivery.
Last Name
Email Address
Phone Number
Fax Number
Company
Address1
Apt/Suite #
Address 2
City
State/Province
Zip/Postal Code


	Vintage New York at 482 Broome Street in Soho
	Vintage New York at 2492 Broadway at 93rd Street
	Rivendell Winery in New Paltz
	Please ship to me at the above address (I know that shipping fees and taxes are my responsibility, and that I am responsible for charges due to misdirected shipments)


Credit Card			All fields are required
Card Number
Expiration Date
Card Holder

By submitting this Application for Membership, I certify that I am 21 years of age or older and agree to the rules of the Cellardoor Wine Society. I understand that my subscription will be ongoing, but that I may cancel in writing at any time. I know that I am under no obligation to receive any of the offerings if I notify the Society within the specified time of each offering. I agree to keep the Society informed of changes in mailing and shipping addresses as well as correct and current payment information. The Cellardor Wine Society, Rivendell Winery or Vintage New York will not be responsible for charges due to misdirected shipments.

		Shipping Policies & Fees