Silver Lake Journey -Join The Wine Club and Silver Lake Journey Membership Benefits

I Would Like To Join The Silver Lake Wine Journey!

You may submit a request to join the Silver Lake Wine Club or Platinum Wine Club by mail, fax or phone too.

**Shipping regulations may apply. State shipping laws vary from state to state and therefore club memberships may be limited to persons living in certain states. Click here to view the wine club shipping map.

Membership Type:	Personal membershipGift membershipBoth
Your Information
First Name:	*
Last Name:	*
Email:	*
Billing Address:	*
City:	*
State:	*
Zipcode:	* (e.g. 98052)
Day Phone:	* (e.g. 9999999999)
Evening Phone:	(e.g. 9999999999)

Membership Level:	Discover Voyage Platinum *
	I have a different shipping address. (No P.O. Boxes)


Payment Information
Name on the Card:	*
Credit Card Type:	Visa Master Card Discover *
Credit Card Number:	*(No spaces)
Expiration Month:	*
Expiration Year:	*


I have a friend who shares my interest in fine wines and to whom I'd like you to send a Silver Lake Journey wine club brochure.


How did you hear about the Silver Lake Journey Wine Club?

* I certify that the member/recipient is at least 21 years of age and understand that an adult signature is required for receipt of all shipments.
Your Initials: * Your Date Of Birth: *(MM/DD/YY)

You may cancel your membership in writing at anytime without furthur obligation except wines shipped prior to Silver Lake's receipt of your notice of cancellation. Please email us at wineclub@silverlakewinery.com or call 425-485-2437 extension 110 for cancellations and other wine club inquiries.

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Gift recipient's Information
Name:	*
Email:	*
Shipping Address:	*(No P.O. Boxes)
City:	*
State:	*
Zipcode:	* (e.g. 98052)
Day Phone:	* (e.g. 9999999999)
Evening Phone:	(e.g. 9999999999)
Gift Membership Level:	Discover Voyage Expedition *
Number of shipments to the recipient:	1 2 3 *

Friend's Information:
Name:
Email:
Mailing Address:
City:
State:
Zipcode:	(e.g. 98052)
	Please mention that I referred this person.