Complete the application

Member Details
Title: *
Name: *
Surname: *
Date of Birth:
Contact and Delivery Details
Delivery Address:
Postal Code:
Telephone Number:
Fax Number:
Cellphone Number:
Email Address: *
Special Delivery Instructions:
Login Details
Login Name: * (lower case, no spaces)
Password: *
Confirm Password: *
Wine Selection (please indicate number of bottles)
Wine Quantity Every 3 months Every 6 months
Gander Sauvignon Blanc
Gander Shiraz
Goose Expression
Quinta do Sul Port
Goose Sauvignon Blanc
Please note: Please refer to the delivery terms to find out whether you qualify for FREE DELIVERY. For ALL other areas, you will be notified by The Goose Wines, on what your delivery fee would be. These charges depend on quantity and final destination.
Payment Details

The Goose Wines (Pty) Ltd
Account Number: 1497193176
Branch Code: 149745
Reference: Please use your unique Membership Number as the reference
Terms and Conditions
  • Yes, I would like to join the The Goose Wine Club.
  • All communication and notification of wine shipments will be done via e-mail.
  • Unless otherwise notified by me, wine deliveries will be dispatched automatically, every 3 or 6 months as indicated on the sign-up form.
  • Only on successful receipt of payment will wine be dispatched. Please allow 5 to 10 days for delivery after payment has been made.
  • Cancellation may be done in writing at any time.
Click the submit button below and become a member of the Goose Wine Club today!


Contact Details

Goose Wines (Pty) Ltd
Address: Ganzekraal, Upper-Langkloof,
George District, South Africa
Tel: +27 (0)82 610 2276
Goose Wines USA LLC
Address: 315 Ranch Trail,
Rockwall, Texas, 75032
Tel: Tel: 903-588-4379
Harvest time on The Goose Estate
Harvest time on The Goose Estate
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