cd order form 2016 - Casa Dumetz Wines

CASA DUMETZ WINES ORDER FORM
_____Spring 2016_____Join our wine club_____
WINES
PRICE
QTY
Viognier Tierra Alta Vineyard 2014
$30
#
Gewurztraminer Santa Ynez 2013
$30
#
Roussanne La Presa Vineyard 2014
$32
#
Syrah Tierra Alta Vineyard 2013
$30
#
Grenache Santa Ynez Valley 2014
$35
#
Grenache Rosé Tierra Alta 2014
$28
#
Syrah Rosé Tierra Alta 2014
$28
#
GSM Santa Ynez Valley 2013
$35
#
SUBTOTAL
Subtotal:
California resident only sales tax 8.00%:
SHIPPING:
SHIPPING RATES:
1-3 bottles: $20
4-6 bottles: $30
7-12 bottles: $50
BILLING ADDRESS:
SHIPPING ADDRESS: (if different)
Name:
Name:
Address:
Address:
City:
State:
City:
Zip:
Zip:
PHONE:
PHONE:
EMAIL:
EMAIL:
State:
Credit Card #:
EXP (MM/YY)
Signature:
Please call 805-344-1900 or email at: [email protected]
SEC. CODE #: