H O M E
Melbourne Wine Shop
Wine Baskets
FC Wine Club
Order Form

How it Works

Duo Club
Features a white and red wine selection of the month - $34.95

Flight Club
Features three red or white wines of the month - $49.95

Makes A Great Gift for Your Wine Loving Friends...Or Yourself
Flying Corkscrew
Wine Club


Just Print this Page, Fill it Out
and Mail to the Flying Corkscrew
Membership Benefits
  • 10% discount on every purchase in our Melbourne shop (excludes gift baskets)
  • 15% discount on purchases of case of wine. (no mixed cases)
  • Reduced price on future wine tastings
  • Advanced notice of hard to find wines or products
  • No long term obligation - You may cancel at any time

Credit or Debit Card # ________________________________________
Expiration Date ________________________________________
Security Code (3 or 4 number) ________________________________________
Signature ________________________________________
Full Name (as it appears on card) ________________________________________
Address ________________________________________
City / State / Zip Code ________________________________________
Email Address ________________________________________
Birthday ________________________________________
Anniversary ________________________________________
Month You Joined ________________________________________

Thanks and Enjoy the Wine!