To join Club Luna, please print out the following form, fill it out and mail or fax it with a copy of your photo I.D., to:

Valley of the Moon Winery
P. O. Box 1951
Glen Ellen, CA 95442
Fax: (707) 543-2301

Application for Charter Membership

Mailing Address:
First Name:
Last Name:
Company:
Address:
City:
State:   Zip:
Phone:
    A.M.:()
    P.M.:()

Shipping Address:
First Name:
Last Name:
Company:
Address:
City:
State:    Zip:
    VISA MC  AMEX
#:
Expires:


Signature (required)

Must be at least 21 years of age to order or receive wine.

Offer valid only in the following states:
CA, CO, IA, ID, IL, MN, MO, NE, NH, NM, NV, OR, WA, WV & WI.
A signature is required at time of delivery. It is a member's reponsibility to notify the club coordinator of any address changes or cancellations before shipment. Member agrees to accept additional charges as a result of misdirected or redirected shipments.

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