O I am 21 years or older & understand a signature will be required for all wine shipments per state law.

I would like to purchase: O Individual Membership O Gift MembershipDATE: __________LEVEL: OExplorer OEnthusiast OConnoisseur

Purchaser NAME: __________________________________________________Purchaser Billing ADDRESS:___________________________________________________________________

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Opick-up at Cooper Vineyards OR Shipping ADDRESS (if different from above): ___________________________________________________________________

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Purchaser PHONE: (________)________________________________________

Purchaser EMAIL: __________________________________________________

CREDIT CARD: OVISA OMastercard ODiscover

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EXP: ______________________ _____________________ CSC (3 digit security #): _______________ DOB: ______/_____/_____

SIGNATURE: _______________________________________________________

LEVEL: OExplorer OEnthusiast OConnoisseurGift Recipient NAME: __________________________________________________Gift Recipient ADDRESS:___________________________________________________________________

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Gift Recipient PHONE: (________)________________________________________

Gift Recipient EMAIL: __________________________________________________Gift Recipient MEMBERSHIP START DATE:_________________/_________________ /_________________

Mail form or join online at CooperVineyards.com/Wine-Club or call 540.894.5474

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I WANT TO JOIN THE WINE CLUB TODAY.Yes!

I WANT TO GIFT AN ANNUAL MEMBERSHIP.Yes!

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• FREE tasting for two when visiting the winery

• 20% off all purchases at Cooper Vineyards and via our Online Store (discounts not applicable at off site events/festivals)

• Advance Ticket Pricing for two for all On-site Events (Heart of VA Wine Trail events excluded)

• Exclusive Quarterly Members Only Pickup Parties

• 10% off Cooper Vineyards Facility Rentals (Must be rented by member)

Membership is continuous with automatic credit card billing at time of shipment. Membership may be terminated after second shipment with no penalty via email to Orders@CooperVineyards.com. Gift memberships automatically terminate after one year.

All members will receive email notification approximately one week prior to shipment. It is solely the member’s responsibility to notify Cooper Vineyards of any address change, method of payment or change in method of receipt (pickup at winery versus shipping). Members are responsible for all shipping charges incurred including incorrect shipping address or no one 21 years of age available to sign for each shipment.

Cooper Vineyards | 540.894.547413372 Shannon Hill Rd., Louisa, VA 23093 | CooperVineyards.com

Quarterly shipments of carefully selected wines by the wine maker and owners will be shipped directly to your door or await your arrival for pickup in the tasting room. Shipments are a combination of red and white wines with an occasional sweet or dessert wine included. Some shipments may include limited Reserve wines that are not available in the tasting room. Yearly gift memberships to individuals are available at any level.

For those who simply enjoy the excitement of receiving award-winning Cooper wines. Three select bottles available for pickup or shipment to you each quarter. Estimated cost per shipment $40-$75, depending on the wines, plus tax and shipping if applicable

This level is for those Cooper wine lovers who can never get enough of their favorites. Six select bottles available for pickup or shipment to you each quarter. Estimated cost per shipment $80-$150, depending on the wines, plus tax and shipping if applicable.

There are wine lovers and then there are Virginia wine lovers. The Connoisseur level allows those who truly love outstanding Virginia wine to have plenty on hand and in the cellar. Twelve bottles available for pickup or shipment to you each quarter. Estimated cost per shipment $160-$300, depending on the wines, plus tax and shipping if applicable.

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