Somm Selection Wine Subscription Order Form

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Somm Selection Wine Subscription Order Form

Please fill up the information below to sign up for a Somm Selection 6-month subscription.

Email *

First Name *

Last Name *

Mobile Number *

Email Address *

Unit Number, Building, Street Address *

Barangay/Municipality *

City *

A1. Package
*

Explorer - 3 bottles (1 red, 1 white, 1 sparkling) - P3,000 per box

Caviste - 5 bottles (2 red, 2 white, 1 sparking) - P6,000 per box *Waived delivery fee

Required

A2. Special Requests

We are glad to go out of our way to accommodate special requests and we will be in touch to confirm if supply and arrangements will allow us to do so.

B. Frequency *

Twice a month

Once a month

C. Payment Schedule *

Bill me before each delivery - We will bill you two weeks before each delivery.

Bill me the full amount - Enjoy 10% off on your bill when you pay the full 6-month subscription.

D. Mode of Payment *

Credit Card

Cash/Direct Debit - Additional 5% off from bill for cash payments.

Consent *

I agree to the Terms and Conditions of this promo and agree to receive email notifications from Premium Wine Exchange, Inc. with information regarding my order and related offers.

Required

Gifting
Are you ordering this Somm Selection Subscription as a gift?

Yes! I am ordering this Somm Selection Subscription as a gift. Charge me and kindly deliver to my intended recipient, whose details are in the form below:

Recipient's First Name

Recipient's Last Name

Recipient's Mobile Number

Recipient's Email Address

Recipient's Unit Number, Building, Street Address

Recipient's Barangay/Municipality

Recipient's City

Customized Gift Card Message (150 characters only)
Optional, and will be sent with the first delivery. Please include company of sender if applicable.

Thank you!

We’re excited to get you started on your Somm Selection Subscription! We will be emailing you a summary of your order and bill details. Your first subscription box will be scheduled for delivery after we have confirmed receipt of your payment. We will also notify you once your subscription is out for delivery.

Terms & Conditions

1. Delivery charges apply.

2. PWX reserves the right to reschedule deliveries in case of inclement weather or general traffic disturbances that are beyond its control.

3. This subscription service is available for deliveries in the Greater Metro Manila Area.

A copy of your responses will be emailed to the address you provided.

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