<p> Member Benefits:  3 great Bluestone Vineyard wines every quarter!!  Access to limited release and library wines!!  Advance tastings of coming releases!!  A pair of tokens valid for any Toast the Weekend event every quarter!!  10% discount on all wine purchases!! (15% after your first year)  Free tastings for members!! Press Club  Invitations to Members-Only Events!!</p><p>Applicant Information [ ] I’d prefer to pick up my wines at the ______tasting room Applicant Name(s) [ ] Please ship my wines to me (additional ______shipping cost will be applied, please see Address shipping requirements on back of form)</p><p>______[ ] My shipping address is the same as my City, State, Zip code billing (if not, see back of form)</p><p>______Phone Number [ ] Winemaker’s Choice ($50-65)</p><p>______[ ] Sweet Selections ($45-60) Email [ ] Only Reds ($60-75)</p><p>Payment Information Billing Address (if different from above)</p><p>______Name on Card Address</p><p>______Card Number City, State, Zip code</p><p>______Expiration Date (month/year) Phone Number</p><p>______Email I agree to purchase three wines quarterly. Bluestone Vineyard will charge my credit card for wines and shipping charges (if I decide to have them shipped) on the 5th of March, June, September, and December. Wines may only be shipped to certain states, please ask upon sign up. </p><p>______Cardholder Signature Date Shipping Requirements  Must have someone 21 years of age or older to sign for delivery  We can only ship UPS and shipping rates are charged according to destination  Due to regulations, we can only ship to the following states (please select one):</p><p>[ ] Arizona (2 cases maximum per year) [ ] North Carolina [ ] California [ ] Pennsylvania (must ship to PA Wine & [ ] Florida Spirit Store*) [ ] Georgia [ ] Rhode Island [ ] Minnesota (2 cases maximum per year) [ ] Virginia [ ] Missouri [ ] Washington DC (1 case maximum per [ ] New York month)</p><p>*PA adds taxes so an amount cannot be quoted until the invoice is filled out</p><p>Shipping Address (if different from front)</p><p>______Name</p><p>______Address</p><p>______City, State, Zip code</p><p>Please leave blank (Bluestone Use Only)</p><p>______Date signed up</p><p>______Bluestone employee responsible for sign-up</p><p>______Email entered into constant contact</p><p>______Application entered into Wine Direct</p><p>______Thank-you card written and sent</p>