Club Enrollment Form

To Join a Cakebread Wine Club, please fill out the information below, and you will begin receiving your two bottle shipments shortly. You must be 21 years of age to enroll.

What states can you live in and participate in our Bakers Club? We can only ship to: AK, CA, CO, FL, GA*, HI, IA, ID, IL, LA, MI*, MN, MO, ND, NE, NC, NH, NM, NV, NY, OR, SC, TX, VA, VT, WA, WI, WV, WY

*The states of GA and MI require that we have a photo copy of your state ID on file before we can ship wine to you. Please mail or fax this in with your enrollment form.

Want to help change state laws? Visit www.freethegrapes.org

Select Your Club:
Please circle the club you would like to join.

Bakers Club

Cabernet Only Club

Classic Reds Wine Club

White Wine Club

Shipping Address:

State laws require someone 21 years of age or older to sign for the package at delivery, therefore it is preferable to ship to a business address. If you do include a business address, please include the name of the business as well.

Shipping Address: (preferably a business address - no P.O. boxes)



Name



Business Name


Street Address (include apt or suite number)


City


State / Zip Code


Daytime Phone


E-mail address


Billing Address: (if different from above)



Name



Business Name


Street Address (include apt or suite number)


City


State / Zip Code


Daytime Phone #


Today's Date

Please Charge My: Visa        MasterCard        Amex


Card #


Expiration Date


Authorized Signature (I certify that I am 21 years or older)

 

Mail or Fax this form to:

Cakebread Cellars
PO Box 216
Rutherford, CA 94573
707-967-4012


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