Payment Forms

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UK Winery Web Store

Registration Form

Last name

First name

Date of birth

This will become your Member ID and must be the one used when placing an order from the webstore

Phone

Phone carrier

Would you like to receive text notifications?

Note: A valid ID (showing that you are over 21 years of age) must be presented in order to finalize membership registration and to receive all purchased wines.

Accept terms: I am a member of one of the following groups: current UK faculty or staff members, retired UK faculty or staff members, or current UK students. I am over 21 years of age.

View pickup location/details

I have read the information regarding pickup location/details