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Wine Order Form

Ship To:
Address:
City:
State:
Phone:
Cell:
 

       Vintage           Variety             Price Per Bottle      Bottle(s)*

        
2005    Cabernet Sauvignon          $20.95      X   ________    =     $________
         2005    Merlot                               $19.95      X   ________    =     $________
         2005    Syrah  (
First time production)      $21.95      X   ________    =     $________ 
         2004    Chardonnay                      $20.95      X   ________    =     $________

                                

          
Minimum of 12 bottles ( 1 case ) purchases.
               Wine Subtotal  $________
                                                                              Add Tax at 8.25%  $________
           
Shipping / Handling $2.75 per bottle,        Add Shipping / Handling  $________
                        

                                                                              Order Total     $________
     
All information found above subject to change.
                                                                        

Please note that when you Copy & Paste the order info in some cases you might
need to re-tab for proper spacing. After filling out the form on your e-mail please
have the information flow properly. 


         2004    Cabernet Sauvignon         
              ----     SOLD OUT     ---
         2004    Merlot                             
               ----     SOLD OUT     ---
         2004    Chardonnay                     
              ----     SOLD OUT     ---

         2003    Cabernet Sauvignon                        ----     SOLD OUT     ---
         2003    Merlot                             
               ----     SOLD OUT     ---
         2003    Chardonnay                     
              ----     SOLD OUT     ---

         2002    Cabernet Sauvignon                        ----     SOLD OUT     ---
         2002    Merlot                                             ----     SOLD OUT     ---