Whisky Order Form

To order whiskies using this form we must already have your credit card information on file since this is not a secure server. If you haven't ordered from us before, we will call you to get your credit card info.

Name:
Membership #:
Address:
City:	State: Zip:
Home Phone:	Work Phone:
Fax:
Email:
Delivery Address (if different from above)
Name:
Address:
City:	State: Zip:
Please enter the last four digits of your credit card for confirmation:
If you are redeeming a voucher on this order, please enter the voucher number:

	Number of Bottles	First Choice Code	Second Choice Code1	Price
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

Please be aware that shipping and handling charges will be added to your order. Following are our standard shipping and handling charges:

1 Bottle = $17.00  2 Bottles = $22.00  3 Bottles = $29.00  4 Bottles = $36.00  5 Bottles = $41.00  6 Bottles = $46.00

Depending upon your location, applicable sales tax may also be added.
Once we receive your order, we will email you with a confirmation showing the bottles ordered, along with a total amount billed to your credit card.

Get a bonus for ordering multiple bottles of whisky.

The Society would like to reward you for multiple purchases.

• 3 Bottle Order - $10.00 Voucher good towards your next purchase of Society whisky.
• 6 Bottle Order - $30.00 Voucher good towards your next purchase of Society whisky.
• 9 Bottle Order - $50.00 Voucher good towards your next purchase of Society whisky.
• 12 Bottle Order - A bottle of Society whisky (up to $90.00 value).