Facsimile Order Form | ~ Minimum Order: Half-Case Please ~ |
||||
| Wines |
Qty |
Case Price |
Qty |
Bottle Price |
|
| 2005 Jazz | ______ | $312 | ______ | $26.00 | |
| 2006 RRV Chardonnay | ______ | $270 | ______ | $22.50 | |
| 2005 Napa Valley Cabernet Sauvignon | ______ | $480 | ______ | $40.00 | |
| 2005 Napa Valley Petite Sirah | ______ | $384 | ______ | $32.00 | |
| 2005 Napa Valley Zinfandel | ______ | $312 | ______ | $26.00 | |
| 2005 Rockpile Zinfandel | ______ | $360 | ______ | $30.00 |
Your Contact/Shipping Information ( * Required Info):
* First Name:________________________
* Last Name:________________________
* Address:
________________________________________________
* City:
________________________
* State:
_________
* Zip:
_________
Phone:
________________________
Fax:________________________
* E-Mail:
________________________
Shipping Information (if different from above):
First Name:________________________
Last Name:________________________
Address:
________________________________________________
City:
________________________
State:
__________
Zip:
__________
We encourage all customers to ship to a business address in order to guarantee receipt!
Please fax form to: (707) 433-2506.
I will contact you as soon as possible with the details of your purchase and delivery.
Thank you!
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