La Vida Bella Estate Wine Club

Please complete and submit the form below. We will follow up with you by phone to discuss benefits, first quarterly shipment and collect payment details.

Name (First & Last): Enter First & Last Name

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Email: Enter Email Address

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Shipping Address: No PO Boxes, Must be 21 years or older to sign for package.

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City, State & Zip Code: Enter City & State

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Message: Enter Your Message

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Daytime Phone Number Enter Daytime Phone Number

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Evening Phone Number Enter Evening Phone Number

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Shipping Method:

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Pick-Up

Ship UPS Ground

Club Membership Type:

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Bronze Wine Club

Silver Wine Club

Gold Wine Club

Varietal Preference:

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Chardonnay

Pinot Noir

Mixed

Image Verification:

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La Vida Bella Vineyard 1624 Chardonnay Ridge Road Aptos, CA 95003 Ph (831) 722-3394