Club Sign Up

Fill in the below form to create a new club membership. If you are an existing club member, to update to your account information, or make selections for a current club allocation, login to your account.

Questions?  We are here to help!  Email wineclub@pellegrinisonoma.com or call us at (707) 545-8680 ext.1

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Delivery / Pickup Information

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  Shipping

  Pickup

Birth Date

Month

Birth Month: Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day Birth Day:

Year Birth Year:

First Name

Last Name

Company

Address

Address 2

City

State

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Next: Payment

Payment

Payment Method

Secure Payment
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Card Number

Name On Card

Expiration Date

MM 01 02 03 04 05 06 07 08 09 10 11 12

YR 24 25 26 27 28 29 30 31 32 33 34

CVV2

For your security, we require you to enter your 3 or 4 digit card verification number.

Most Credit Card Types
The 3 digits located on the back of your card on or above the signature line.

American Express
The 4 digits located on the front of your card above the end of your card number.

Billing Address

Use my shipping address

Birth Date

Month

Birth Month: Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day Birth Day:

Year Birth Year:

First Name

Last Name

Address

Address 2

City

State

State / Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Email

Phone

Next: Account

Edit

Account

Login Details

Create a password so that you can login to view club details. You will also be able to save your information for the checkout process in the future.

Password

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Next: Review Subscription

You can review this subscription before it's final.

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