UB Club Registration UB Club Signup 1 Club Preference2 About You3 Where is it going?4 Billing5 Confirm Club Preference*Curds & Corks Club: $180/shipment (+shipping) 6 bottles of wine and 3 perfectly paired cheeses sent quarterly Curds & Corks Club - Red Only: $225/shipment (+shipping) 6 bottles of red wine and 3 perfectly paired cheeses sent quarterly Cork Club $140/shipment (+shipping) 6 bottles of wine sent quarterly Prices do not include shipping. Curds & Corks ClubCork ClubCurds & Corks - Red Only Name* First Last Email* Enter Email Confirm Email Daytime / Cell Phone*What's the best number to reach you directly at during business hours? This is especially important if there are any delivery issues. Alternate PhoneWhat number can we call if we can't reach you at your primary number?Birth Date*Wine can only be purchased by those who are of legal drinking age. MM DD YYYY Referred by club member:Folks who refer each other get rewarded. If one of our members told you about our club, please mention them by name so we can show our thanks to them.Helped by crew member:We truly appreciate our tasting room crew helping us to spread the curd regarding our clubs; therefore, if you know the name the crew member that helped you, please mention them by name so we can show them our appreciation. Delivery choiceDeliver to the address belowDon't deliver. I will pick up from Upper Bench WineryRecipient NameIf you are having your shipments delivered to a business, or if this is a gift, please enter the name of the person who will receive the delivery.Recipient Phone (if different from preivous #s)Shipping AddressYour shipment will arrive during regular business hours. Your shipment must be signed for by a person 19 years of age or older. Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Address Type*Shipping is usualy a lot less expensive if you have your goods sent to a buisness address.ResidentialBusiness Credit Card Number*Expiry Date*mm/yyCard Owner*Billing Address (If different from shipping address)If your billing address is the same as your shipping address, you can leave this blank. Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Total before ShippingClick CONFIRM below to complete your subscription We will contact you following your sign-up regarding your first shipment. Our current shipping schedule is March, June, September, and December. To modify your subscription at any time, please give us a call. Shipping charges will be added to your order at the time of each shipment. Please see our shipping rates page. $ 0.00 CAD Comments, questions, special instructions?EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.