Carillon Club
Membership Form
As a Carillon Club member you will receive a shipment of our new release wines six or twelve times a year, with automatic charges to your credit card. The amount that you will be billed is the cost of the wine minus your discount. Sales tax will be applied where appropriate. Shipping is charged separately though a third party shipper.
2-bottle Carillon Club Member
Yes! I would like to join the Carillon Club and receive 2 bottles of the Red and White Wines selection
Every Month
Every other Month
Yes! I would like to join the Carillon Club and receive 2 bottles of Red Wines Only selection
Every Month
Every other Month
6-Bottle Carillon Club Member
Yes! I would like to join the 6-bottle Carillon Club and receive the Red and White Wines selection
Every Month
Every other Month
Yes! I would like to join the 6-bottle Carillon Club and receive the Red Wines selection
Every Month
Every other Month
12-Bottle Carillon Club Member
Yes! I would like to join the 12-bottle Carillon Club Red and White Wines selection
Every Month
Every other Month
Yes! I would like to join the 12-bottle Carillon Club Red Wines Only selection
Every Month
Every other Month
Cellar Selection
Yes! Please place me on a waiting list for the Cellar Selection!
If you do not select a club type, you will automatically be placed in the every month, Red and White Carillon Club, and will be charged for and shipped the Carillon Selections for that club every month. If you would like to change the status of your club shipments, please contact the winery at 707-944-1673 or wineclub@bellwine.com.
Delivery Address*
Name:
Address 1:
Address 2:
City:
State:
Zip Code:
County:
Email address:
Daytime phone:
Evening phone:
Fax:
Payment Method
Warning:
This is not yet a secure site. Please feel free to call us at (707) 944-1673 to discuss your payment method or fax your information to (707) 944-1674.
Visa
MasterCard
American Express
Expiration date (month/year):
Billing Address
Same as shipping
Other billing address
Name:
Address 1:
Address 2:
City:
State:
Zip Code:
County:
Please confirm your age:
I am 21 years old*
* All wines are sold in California and the title passes to you, the buyer, in California. The buyer is solely responsible for shipment of wine. By placing an order, you authorize us to act on your behalf to engage a common carrier to deliver your order to you. Wine may be sold and delivered only to persons who are at least 21 years old. In placing an order, you represent to us that you are at least 21 years old and that the person to whom you are directing delivery is at least 21 years old. When your wine is delivered, the person receiving delivery will be required to show identification proving himself to be at least 21 years old.
Bell Wine Cellars
6200 Washington Street, Yountville CA 94599
(707) 944-1673 (telephone) (707) 944-1674 (facsimile)
WWW.BELLWINE.COM
e-mail:
wineclub@bellwine.com