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  Paumanok Wine Club
Enrollment Form
YOU MUST BE 21 OR OLDER TO ENROLL.

In completing this form, you agree to have six or twelve bottles of Paumanok wines shipped to you, every three months.

Each shipment will consist of Paumanok wines that are new releases, current releases or from past vintages. The charges for each shipment will be calculated based on the retail value of the wines shipped, less the appropriate wine club discount (10% on less than 6 bottles, 15% on 6 or more and 20% on 12 or more bottles), plus tax and shipping for delivery in New York State (there is a surcharge for out of state shipments). Membership in the Paumanok Wine Club is required for a minimum of 18 months. A $100 early cancellation fee will be applied if membership is canceled within 18 months of enrollment.

As a Wine Club member, you will be entitled to receive discounts on purchases at the winery or phone/internet orders. Discounts are 10% on 1 to 5 bottles, 15% on 6 to 11 bottles, 20% on a case (12 bottles) or more. As a Wine Club member you will be given priority in reserving for special events and complimentary tastings at Paumanok's Futures Barrel Tasting.

If you prefer not to complete an online enrollment form, click on the link below for a printer friendly version, and fax it to us at (631) 722-5110 or mail it to us at:

Paumanok Vineyards
P.O. Box 741
Aquebogue, NY 11931-0741


Standard membership. No preference.
White wines only.
Red wines only.

I wish to receive 6 bottles every three months (approximate charges: $135 to $155).
I wish to receive 12 bottles every three months (approximate charges: $240 to $260).


This Wine Club membership will be in this person's name.

Member Name
Email Address


Billing Information
First Name
Last Name
Address
City
State
Zip Code
Is this a residential address?
Home Phone
Work Phone
Email Address
Shipping Information
Please do not ship, I prefer to PICK UP my wines at the winery.

Shipping info same as billing?
First Name
Last Name
Address
City
State
Zip Code
Is this a residential address?
Ship Phone

By clicking on the button below you are making an electronic
signature that confirms your enrollment and your
selections above and your age of 21 or older.
An adult signature will be required upon delivery.