MarshAnne Landing Winery

Wine Club Application

Fax Form

(Secure ordering: Print, Complete Form, Sign and Fax or Mail back to MarshAnne Landing)

To: MarshAnne Landing, 175 Hogan Road, Oakland, OR 97462 Fax Number (541) 459-4499

Welcome to MarshAnne Landing’s LANDING PARTY! Our wine club provides a 20% discount on the purchase of all of Landing Fluids. As a member, you will receive a quarterly selection of three bottles of current releases, limited release wines, and/or aged wines. Selections will be available at the winery for pickup or shipped in December, March, June and September.

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Customer Information

Note - you must be 21 years of age or older to purchase wine. Wines will be shipped after receipt of payment. The delivery agent (UPS) requires an adult signature upon delivery. We ship wines anywhere the law allows.

Name: _____________________________________________________________________

Billing Address: ________________________________________ City/State/Zip: _________________

Billing Phone Number: ____________________________ Email Address: _________________

___Please Ship ___I will pick up at Winery

Shipping Address: ____________________________________ City/State/Zip: _________________

Shipping Phone Number: _________________________ Email Address: _________________

Credit Card (VISA/MasterCard/Discover):

Credit Card Type: __________ Number: _______ ________ ________ ________ Expiration: ______/_______

Authorized Signature: _____________________________________________

Date of Birth: _________/__________/____________

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By signing the application, I agree to join the LANDING PARTY at MarshAnne Landing, certify that I am 21 years or older, to have my credit card billed 4 times per year prior to receiving my seasonal bottles with each billing not to exceed $65 PLUS shipping charges. I agree to accept a minimum of two (2) quarterly deliveries, after which I can cancel my membership with 30 day notice. Wines not picked up after 30 days from the date of release will be shipped at the member’s own expense.

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Shipping Information*

We ship UPS Ground to any legal US State.

Out of state shipping, where allowed by law, is available to either business or home street address. An adult signature will be required.