gift membership form

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Give the gift that lasts a lifetime!
Complete this form in a few easy steps and return it to us at:

Reply Paid 745, Broadway NSW 2007 or email

If you’re not a big fan of forms, just give us a call on 1300 723 723 and a friendly Wine Advisor will do all the work for you!

Step 1 About the lucky Gift Recipient:
Title       Ms        Mr.           Mrs.    Dr        Miss        Something else (Please write)

Surname                                                               First Name

Date of Birth         /         /

Suburb                                       Postcode                       State

Contact Number

Step 2 About You:
Are you a Wine Society Member?                Yes        No        Member Number

If you have a Promotional Code please write it here:

Title        Ms           Mr.       Mrs.    Dr        Miss        Something else (Please write)

Surname                                                               First Name

Date of Birth         /         /

Suburb                                       Postcode                       State

Contact Number

                                                                                                               please turn over

Privacy Statement Gift recipients’ contact details will be used in order to fulfill their membership.
The Wine Society may use Members’ contact details to provide special offers. We care about your
privacy - to view our Privacy Policy please visit
Step 3 The fun part…
We have put together a gift Membership “bundle” which includes the Membership gift certificate and Activation
form; an introduction to the Wine Society, and the latest copy of our Member catalogue.

Would you like us to send the gift Membership bundle                                to you?            directly to the recipient?

Would you like to include a message on the gift certificate?                              Yes (please write below)                 No

Would you like us to include a gift voucher as well?

         Yes      Amount: AU$


Step 4 The nitty gritty: Credit Card details
What’s your preferred card?                        Visa         Mastercard             Amex           Diners

Card Number

Expiry Date                 /

Cardholder’s name
(print neatly please!)
I understand my card will be billed $50.00 (for 25 X $2.00 shares in the Wine Society) plus any amount specified for a Gift Voucher
(above), when the Membership is activated.

What happens next?
     • As soon as we receive this completed form, we will send the “Membership bundle” to you (or directly to the gift recipient if
     • Please be sure to let your gift recipient know that their membership must be activated before they can purchase. They can do
       this simply by calling us on 1300 723 723.
     • As soon as the membership has been activated, we will send the new Member their welcome presents!

Thanks for choosing to give a Wine Society gift membership!
If you have any questions, just give us a call on 1300 723 723, and speak with one of our friendly Wine Advisors, or drop us an email
phone 1300 723 723 f ax 1300 788 988
66 Bay St, Ultimo NSW 2007 arbn 068 836 699
the australian wine consumers’ co-operative society limited

Lifetime membership is based on the purchase of at least $250 worth of wine, wine products, or services from the Society every year. The Wine Society complies with the requirements
of the Privacy Act 1988 as amended ( Liquor Act 2007: The Wine Society supports the responsible service of alcohol. It is an offence to sell or
supply to or to obtain liquor on behalf of a person under the age of 18 years. Lic. No. 352833

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Description: gift membership form