Please fill out the form below with any changes you would like to make to your membership. All changes must be submitted 30 days prior to a wine order or membership renewal.

Member Name *
Member Name
REMINDER: Cancellations but be submitted 30 days prior to an order or renewal.
Today's Date *
Today's Date
Please provide information about changes you would like to make regarding your membership. Example: New shipping address, new credit card information, new contact information, wine order quantity or type of wine or request to cancel membership.