Subscription Signup  ·  New

Grow Your Wine Club with an Easy Online Signup Form

Enroll wine club members online, confirm they're 21 or older, and collect tier, varietal, sweetness, and delivery preferences for each quarterly release.

Neo theme
formbuilder.ai/f/winery-wine-club-membership-signup-quarterly-shipment-preferences-form
Winery Wine Club Membership Signup & Quarterly Shipment Preferences Form
Full Name
· · ·
Email Address
· · ·
Phone Number
· · ·
Submit

This Wine Club Membership Signup form gives your winery a polished, all-in-one way to welcome new members and learn exactly what they love to drink. It opens with a friendly greeting and collects essential member details, including full name, email address, phone number, billing address, and date of birth to help confirm every member is 21 or older. Members then select their membership tier, choose how they'd like their membership to begin, and share their wine selection, favorite varietals, preferred sweetness level, and any wines or varietals they'd like you to avoid.

Built for wineries, vineyards, tasting rooms, and wine shops that run quarterly club programs, the template clearly outlines your March, June, September, and December release schedule and highlights perks such as member-only pricing, complimentary tastings, and invitations to exclusive release events. A dedicated delivery section lets members pick a delivery method, add a separate shipping address, and leave delivery instructions, while a referral question reveals which marketing channels are bringing in new sign-ups.

Replacing paper signup cards at the tasting bar with an online form saves your staff time, reduces data entry errors, and keeps every member's preferences organized in one place. You can personalize each shipment, avoid sending bottles a member won't enjoy, and build lasting relationships that improve retention. Customize the tiers, varietals, and agreement language to fit your club, add your branding, and start growing your wine club today.

3 Pages
18 Questions
~6min To complete
Free Included on every plan
Field types Single Choice ×3 Dropdown ×3 Address ×2 Long Text ×2 Full Name Email Phone Date Multiple Choice singlecheckbox termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Member Information 5 questions
Member Information
Welcome. We're delighted you're joining our wine club. Please share a few details so we can prepare your membership and keep you informed about new releases, member events, and exclusive offerings.
1 Full Name * Full Name
2 Email Address * Email
3 Phone Number * Phone
4 Date of Birth (must be 21 or older) * Date
5 Billing Address * Address
Page 2 Membership & Quarterly Shipment Preferences 6 questions
Membership & Quarterly Shipment Preferences
Our club releases go out four times a year: in March, June, September, and December. Every membership tier includes member-only pricing, complimentary tastings, and invitations to exclusive release events.
1 Membership Tier * Single Choice
2 Start My Membership With * Dropdown
3 Wine Selection * Dropdown
4 Favorite Varietals Multiple Choice
5 Preferred Sweetness Level Single Choice
6 Wines or Varietals You'd Like Us to Avoid Long Text
Page 3 Delivery & Membership Agreement 7 questions
Delivery & Membership Agreement
1 Delivery Method * Single Choice
2 Shipping Address (if different from billing) Address
3 Delivery Instructions Long Text
4 How Did You Hear About Our Wine Club? Dropdown
5 Email me about release parties, member events, and exclusive offers singlecheckbox
6 I confirm that I am 21 years of age or older and agree to the Wine Club Terms, including automatic billing (plus applicable tax and shipping) before each quarterly release, a minimum commitment of two shipments, and that an adult 21+ with valid ID must sign for every delivery * termsandconditions
7 Member Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

  • Ready-to-use structure — pre-configured fields out of the box
  • Applied "Neo" theme — fonts, colors, and layout already set
  • Mobile-responsive — works on every device without extra configuration
  • Fully editable with drag-and-drop — change anything in seconds
  • Included on every plan — try it free for 7 days

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Included on every plan. Open in the editor, customize, and publish in minutes.

Use This Template Free Preview the form
Category Membership
Subcategory Subscription Signup
Theme Neo
Badge New
Price Free
Coding required None

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