Wine Club
Wine Club Registration
Wine Club Change Form
Wine Club Newsletter

 

 

 

To update your wine club membership, please submit the form below. Changes must be made 10 working days prior to a wine club shipment (March 1, June 1, Sept. 1, Dec. 1) in order to be effective for that shipment.

Current Billing Information:
Your Name:
Address:
City:
State: Zip:
Phone:
Email Address:
   
NEW Billing Information:
Your Name:
Address:
City:
State: Zip:
Phone:
Email Address:
   
NEW Membership Level:
Club Léal
Club Léal Gold
Club Léal Platinum
 
NEW Payment Information:
Payment Type:
Card Number:
Expiration Date: (mm/yy)
CVV Code: (3-4 digit code on back of card)
   
NEW Shipment Method:
Select One:
   
NEW Shipping Address:
Name:
Company:
Address:
City:
State: Zip:
   
Comments: