The Vine Club Member Application

Step 1 of 3

About You
First Name
Last Name
Email Address
Mobile Number
Gender
Date of Birth
May we contact you via text message?Yes
No By selecting “Yes,” you agree to receive text messages from The Vine Club. Texting is our primary method of communication for important updates and member announcements, and we strongly encourage you to opt in. Standard carrier rates may apply. Reply STOP to opt out at any time.
If referred by an existing member, by whom?
Code
Your Address
- Street Address
- Suite/Apt
- City
- State/Province
- Zip Code
- Country
Your Work
Company Name
Role
Years at Position
Your Membership
Plan Selection Annual Monthly

Social - Individual $2,000 $217

Social - Couple $3,000 $300

VIP - Individual $2,500 $258

VIP - Couple $4,000 $383

VIP - Household $5,000 $467
Select Your Membership Level
Choose Your Plan
Payment Preference