If you would like to join the Cellar Family Wine Club, please print this page, fill out the form, specify your preferences and fax to: (805) 686-8788 or mail to: Firestone Vineyard; Attention Ken; PO Box 244, Los Olivos, CA 93441.
Questions? Call Ken Miller toll-free at 800-910-3940 or email him at Ken@FirestoneWine.com

When we receive your form your 25% wine discount and other benefits will be instantly activated--and our next Cellar Family shipment will land on your doorstep. Membership is free!
Wine shipments are automatically charged to your credit card.
Average shipment charges are as follows: $50 (2 bottles); $150 (6 bottles); $275 (12 bottles).

• I select _____ 2 bottles_____6 bottles_____ 12 bottles per shipment.

• I would like to receive Red Wines _____ White Wines _____ Red and White wines _____

Name: ________________________________________________________________

Billing address:_________________________________________________________

City:_____________________________________ State:______ Zip:_____________

Day Time Phone: (________) ____________________________________________

Email Address:______________________________________________________

Credit card: ______ Visa ______ Mastercard______ American Express______ Discover
(Must be 21 years old to join and receive wine. Void in states where prohibited by law.)

Card number: ______________________________ Exp Date: ___________________

Signature: _____________________________________________________
(Must be 21 years old to join and receive wine. Void in states where prohibited by law.)
Ship To: (complete if different from above. Adult signature required upon delivery):

Name: _________________________________________________________________

Shipping address: _______________________________________________________

City: _____________________________________State: __________ Zip: _________

Special Instructions or Message to include: _____________________________________________________________


In accordance with direct shipping laws, we can legally only ship wine to the following states: California, Colorado, Florida, Idaho, Illinois, Iowa, Minnesota, Missouri, Nebraska, Nevada, New Mexico, New York, North Dakota, Ohio, Oregon, Texas, West Virginia, Washington, Wisconsin and Wyoming.
If you do not live in one of these states, we may have a distributor of our wines in your state—give us a call for listings.