Gladstone Vineyard Cellar Club Membership

Gladstone Vineyard Cellar Club Membership Application

Name (s): ______

Birth date (s): ______

For each member – day and month only

Physical Delivery Address: / Postal Delivery Address:
if different from postal address

Email: ______

Phone(s): Home ______Cell ______

Credit Card Number: ______Exp ______

Terms and conditions of the Gladstone Vineyard Cellar Club

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 / I authorise Gladstone Vineyard to register me as a member of their Cellar Club andagree to buying at least two cases of wine per year.
I authorise Gladstone Vineyard to charge my credit card prior to shipping each case.
I agree to this arrangement continuing until such time as I cancel my membership after the minimum 12 months membership.
I agree that Gladstone Vineyard reserves the right to annually review and change the terms of this membership (such as increasing the price to reflect inflation) but will only continue my cellar club member on new terms with my agreement.
I am over 18 years of age.

Signed: ______Date: ______

Gladstone Vineyard Cellar Club – tell us what you want!

□ Option 1: Please send me a seasonal case of Gladstone Vineyard and 12,000 Miles wines twice a year (spring and autumn), and charge my credit card $280 per delivery.

Before each delivery we’ll contact you to let you know what we’re sending in and give you the chance to make any changes. If you’re happy with the selection we’ve chosen, do nothing and we’ll send you your wine. If, in the future we need to increase the price of the seasonal case we’ll let you know.

□ Option 2: Please send me a case of my preferred wines when I chooseat around 20% discount on standard retail rates

Before each delivery we’ll pull together a combination of your preferred wines and contact you to confirm your order and the amount that will be debited from your credit card. You can let us know if you want to make any changes. If you’re happy with the selection we’ve chosen, do nothing and we’ll send you your wine.

I would like a mix of:(tick as many or as few boxes as you like)

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□ / 12,000 Miles wines only
Gladstone Vineyard wines only
Both labels (GV and 12K)
Red only
White only
Reds and whites / □
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□ / Sauvignon Blanc
Pinot Gris
Viognier
Riesling
Rose
Pinot Noir
Cabernet Franc Merlot blend

I would like a case delivered to me:

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□ / monthly
quarterly / □ / twice a year (autumn and spring)

You will receive your first case after registering. After that we'll send you your wines as specified above.

Send your registration form by fax to (+64) 6 379 8564 or mail to Gladstone Vineyard Cellar Club, RD 2 Carterton 5792, New Zealand