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e.g. : beef, steak, seafood, fish, pasta, lobster, cheese

SOUTHERN HEMISPHERE WINE CENTER

Wine Club Enrollment Form



Join our Wine Club and enjoy a selection of some of the best wines from the Southern Hemisphere...and save money, too!
Please choose from the options below:
Southern Hemisphere Wine Club (3 wines per month from the Southern Hemisphere, for $49.99 per 3 bottle pack)
South African Wine Club (3 wines per month from South Africa, for $49.99 per 3 bottle pack)
Southern Hemisphere Collector's Club (3 highly allocated wines per month from the Southern Hemisphere, price varies from $100 - $150 per 3 bottle pack)
Southern Hemisphere Premium Quarterly Case (12 wines from the Southern Hemisphere, for $199.99 per case)
South African Premium Quarterly Case (12 wines exclusively from South Africa for $199.99 per case)
Southern Hemisphere Best Value Case (12 value wines from the Southern Hemisphere, for approximately $119.99 per case)
Wine Preference:
 Club Selection (Reds & Whites)  Red Wine Only
Is this a gift membership:
Yes  No
Please enroll me in the Wine Club(s) indicated above. I understand that the wine club selections will be sent automatically to the specified recipient until I cancel my membership. I also understand that membership is limited to persons who are at least 21 years old and that an adult signature will be required when I take delivery of my wine. If you would like to enroll for a specific number of shipments please let us know. Prices do not include shipping or taxes where applicable.
Billing Address
First Name Last Name
Address Address 2
City State Zip
Phone Email
Delivery Address (Adult signature required) ( Check this box if same address as above )
First Name Last Name
Address Address 2
City State Zip
Phone    
Comments / Gift Message:
Method of Payment:
 Visa    Mastercard    American Express    Discover  
Please enter credit card number with no spaces or dashes:
Card # Expiration Date: Month: Year:
CCV Code