Join the Heritage Wine Society   

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Welcome Omaha & Out-of-State Residents!
Tolosa Winery is offering this special to out-of-state residents interested in receiving excellent wines from California's Central Coast. By joining our Heritage Wine Club, you will be offered a 4-pack of wine, including our Tolosa Chardonnay,
Pinot Noir, Syrah, and No Oak Chardonnay, for a special value of $67.20 w/ free shipping (a $120 value).  You'll also receive our Tolosa DVD, "My Life as a Grape", and an exclusive invitation to an Omaha tasting event.
This offer is good only for Omaha and Out-of-State Residents that are compatible with our shipping laws.

Please complete this form to join the Heritage Wine Society. (This website is secured using a digital certificate, or SSL, to ensure that all information you send to us via our website is encrypted and secure.)

Billing Information * required fields			Shipping Information* required fields
* Name:			* Name:
Company:			Company:
* Address:			* Address:
* City:			* City:
* State:	Select one Shipping States --------------------- Alaska Arizona California Colorado District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Louisiana Maine Massachusetts Michigan Minnesota Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oregon South Dakota Tennessee Texas Vermont Virginia Washington West Virginia Wisconsin Wyoming Non-Shipping States ----------------- Alabama Arkansas Connecticut Delaware Kansas Kentucky Maryland Mississippi Oklahoma Pennsylvania Puerto Rico Rhode Island South Carolina Utah		* State:	Select one Alaska Arizona California Colorado District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Louisiana Maine Massachusetts Michigan Minnesota Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oregon South Dakota Tennessee Texas Vermont Virginia Washington West Virginia Wisconsin Wyoming
			Members must have a shipping address in one of the above states
* Zip:			* Zip:
* Phone:			* Phone:
* Card:	Visa MasterCard		* Email:
	Discover American Express		* Email (confirm):
* Card #			* Wine Preference:	Select One Mixed White Only Red Only
* Exp. Date:			* Birthday:
I am 21 years old or older. I wish to become a Tolosa Heritage Wine Society Member. I understand that my wine shipments will be automatically charged to my Cardit Card account prior to each shipment. Cancellation of membership must be received in writing at least 30 days prior to the next wine shipment. An adult signature is required for delivery. Shipping subject to state and local law.
Mention Code (from Postcard)