Dobra Zemlja
Wine Club Application

Welcome to our Wine Club! Choose which Club suits you best.

"Mas Vino" is 6 releases a year (February, April, June, August, October and December) of 2-3 bottles with a maximum price of $50 per release, not including shipping. You will receive a 20% discount on most wine purchased online or at the winery.

"No Lightweights Super Club" is 4 releases a year (March, June, September and November) of 6 bottles with a maximum price of $125 per release, not including shipping. You will receive a 25% discount on most wine purchased online or at the winery. 

APPLICANT INFORMATION

First and Last Name Street Address

City, State and Zip Code Telephone

Email Date of Birth

Will Call (Check here if you would like to pick up your shipments at the winery. We will hold "will call" wines for 30 days after shipment release. Wines not picked up by that time will be shipped and shipping costs will be billed to your credit card.)

Gift Membership Membership Expires (mo./yr.) (If this is a gift membership, check here and give us an expiry date. Please complete the shipping information with the gift member's name, shipping address, etc.)

PAYMENT INFORMATION

Credit Card type: Visa Mastercard American Express Discover

Credit Card Number Name on Card

Expiration Date (mo./yr.) Security Code

SHIPPING INFORMATION

We require a daytime address where a recipient 21 years of age or older will be available to sign for shipments.
We cannot ship to PO Box addresses.

First and Last Name Street Address

City, State and Zip Code Business Home

Phone at Shipping Address

• I certify that I am 21 years of age or older.
• I authorize Dobra Zemlja to charge my credit card for each shipment.
• I understand that I may cancel my membership in writing at any time without further obligation except for wine shipped prior to Dobra Zemlja’s receipt of my notice to cancel.
• I am responsible for notifying Dobra Zemlja of any address change before wine is shipped. Extra
charges incurred for misdirected wines will be my responsibility.

I have read and accept the above policy statement. Date

Signature: ______________________________________________________________________________

We are currently unable to receive forms securely from this website (coming soon!) so for now, please print and fax it to us at (209) 245-5022. Thank you, and again, welcome to our Wine Club!

Wine Club Questions: (209) 245-3183 - Ask for Norina or Mike, or email us at: info@dobraz.com.