Milestone Wine Club Application
(Please print this page, fill out, and mail or fax it to us)

 

Yes!  I want to be among the discriminating Sierra Foothills wine lovers who become members of Milestone's Wine Club.  I agree to have two bottles of each Milliaire wine, at a 20% discount off the per-bottle retail price, plus tax, and shipping and handling charges, charged to my credit card.  The wine will be delivered to my door.  In addition, I will receive:

• The Milestone Quarterly Newsletter
• Invitation to members-only events
• Advance notice of Milliaire special events
• Opportunity to purchase limited release and library wines

Shipping Address:
Please ship my Milestone Wine Club wines to either Work  Home
 

First Name:_____________________________  M. I.:___  Last Name:_________________________

Company:_________________________________________________________________________

Street:_________________________________________________ Suite or Apt.#:_______________

City:_________________________________________  State:_______  Zip:____________________

Phone:______________  E-Mail:_______________________________________________________

Mailing Address (if different from shipping):

Street:_________________________________________________ Suite or Apt.#:_______________

City:_________________________________________  State:_______  Zip:____________________

Payment Method:
VISA  Master Card

Card #:___________________________________________________________________________

Expiration Date:_____\_____

Signature:__________________________________________________________________________

Email for Wine Information