12 Ranch Wines

“VINO RANCH” Wine Club Enrollment Form

                   ______The Sipper ______The Drinker ______The Enthusiast

                   _____Wine to be shipped        ______Wine picked up

                   Name:__________________________________________

                   Mailing Address:_________________________________

                   City:________________   State:_____ Zip_____________

                   Phone(____)_____________________________________

                   Email:__________________________________________

                   Shipping Address if Different_________________________

                                                                   __________________________

                   Comments:_______________________________________

                   ________________________________________________

                   ________________________________________________

                   _______ I am 21 years or older

                   Payment:______Visa ______MasterCard

                   Number:__________-__________-__________-_________ 

                   Expiration Date:___________   Cvv  Code:_______

                   _________________________________________________

                   Signature                                                             Date

Enrollment form can be mailed or faxed. If you don’t want to send payment information someone from the winery can call you for payment information

12 Ranch Wines 

     4550 Burgdorf Rd, Bonanza, Or 97623        Phone/Fax #: (541) 545-1204

Terms and Conditions: VOID WHERE PROHIBITED. Wine can only be sold in states that have passed reciprocal shipping legislation, and further restrictions and limitations may apply. The winery makes no claim as to the accuracy of the current status of reciprocity for any state, and may refuse to ship wine to any state at any time for any reason. Interested persons should contact their state's alcohol regulatory department before placing an order for current laws and regulations on purchasing and importing wine into their state.

Must be 21 years of age to be a member of a wine club and/or receive shipments of wine. Sales of alcohol are made only to persons aged 21 or older. In submitting an order the buyer is representing to the winery that the buyer is at least 21 years old. False representation of age by a buyer or person receiving shipments will be referred to local law enforcement agencies for prosecution.

The buyer understands that, upon submission of their credit card information for membership, their credit card will be billed automatically prior to scheduled wine club shipments. A buyer's credit card will be billed for the cost of the wine and/or specified products, any applicable taxes, delivery and handling charges corresponding to club shipments and/or buyer authorized orders. In areas where the direct shipment of alcoholic beverages is restricted or prohibited, wine club members are entitled to membership benefits but, regrettably, no direct shipments of wine.

Pricing and availability subject to change. In the event of pricing discrepancies, our Tasting Room's retail price is final. When permissible, returned merchandise will be credited to the buyer's credit card account excluding any delivery and handling charges incurred.

When wines are sold, title of goods passes to the buyer within the State of Oregon. The winery makes no representation as to the legal rights of the buyer to ship or import wine into any state outside of Oregon. The buyer is solely responsible for the shipment of wine. By placing an order, the buyer authorizes the winery to act on the buyer's behalf to engage a common carrier for delivery to the buyer's destination. When delivery of alcoholic beverages is made, the person receiving the shipment must show identification to the common carrier as proof of age 21 or older before receipt of goods. It is recommended that, to minimize risk of damaged goods or minors receiving shipments, deliveries be made to a business address.