Club Sign Up

Indicates a required field

VIP Club

As a member of our VIP Club you will receive one bottle of red wine and one bottle of white wine each month that are selected by our winemaker. Monthly charges range between $40 and $55 plus applicable taxes. If you choose to have your wines shipped additional shipping charges will be added. All charges will be automatically processed and charged to your credit card on file. Once you join a $50 one-time membership fee will be charged to your card. You can put your membership on hold or cancel at any time by emailing your request to VIP-Club@ChrysalisWine.com.

Delivery / Pickup Information

Signature is required for delivery

Shipping

Pickup

Birth Date

Month

Birth Month:

Day Birth Day:

Year Birth Year:

First Name

Last Name

Company

Address

Address 2

City

State

Zip Code

Phone

Add a gift message or special instructions

Gift Message

Club Notes / Special Instructions

Payment

Payment Method

Secure Payment
The security of your sensitive information is important to us. When you enter sensitive information, we encrypt that information using secure socket layer technology.