Order Form
You may either print this order form and mail it, or print the .pdf printer friendly version and mail it or fax it. We are only allowed to ship to the following states: California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Iowa, Illinois, Louisiana, Michigan, Minnesota, Missouri, North Carolina, North Dakota, Nebraska New Mexico, New York, Nevada, Ohio, Oregon, South Carolina, Washington, Wisconsin, West Virginia, Washington DC and Wyoming.
| NAME | ||
| ADDRESS | ||
| CITY | STATE | ZIP |
| PHONE NUMBER | FAX | |
| My signature certifies that I am (21) twenty one years old. |
Signature (Required)
|
|
| We accept: (circle) Checks, Money Order, and Credit Cards (Discover, American Express, Visa and MasterCard) | Credit Card Number: | Expiration Date of Card: | |||||||
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SIGNATURE
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Wines
|
Quantity
|
Per Bottle
All bottles 750ml, except where noted |
|
Quantity
|
Per Case
(prices reflect 10% discount) |
|
Sub Total
|
TOTAL
|
|
| WHITES | |||||||||
| |
CHARDONEL | |
$10.99 | |
|
$131.88 | |
|
|
| VILLARD BLANC | |
$10.99 | |
|
$131.88 | |
|
|
|
| VIDAL BLANC | |
$10.99 | |
|
$131.88 | |
|
|
|
| TRAMINETTE | |
$11.99 | |
|
$131..88 | |
|
|
|
| HEARTLAND WHITE | |
$9.99 | |
|
$119.88 | |
|
|
|
| SHAWNEE GOLD | |
$10.99 | |
|
$131.88 | |
|
|
|
| WIENER DOG WHITE | |
$10.99 | |
|
$131.88 | |
|
|
|
| LATE HARVEST VIDAL | |
$13.99 | |
|
$167.88 | |
|
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|
| BLUSHES | |||||||||
| |
ALTO FESTA |
|
$10.99 | |
|
$131.88 | |
|
|
| HEARTLAND BLUSH | |
$9.99 | |
|
$119.88 | |
|
|
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| FRUIT WINES |
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| CHERRY | |
$9.99 | |
|
$119.88 | |
|
||
| CHERRY BERRY |
$11.99 |
$143.88 |
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| PORT WINES | |||||||||
| |
HEARTLAND PORT | |
$10.99 | |
|
$131.88 | |
|
|
| PORTO DI GUIDO |
|
$19.99 | |
|
$239.88 | |
|
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| REDS | |||||||||
| |
CHANCELLOR | |
$12.99 | |
|
$155.88 | |
|
|
| CHAMBOURCIN | |
$15.99 | |
|
$191.88 | |
|
|
|
| ROSSO CLASSICO | |
$13.99 | |
|
$167.88 | |
|
|
|
| NORTON | |
$18.99 | |
|
$227.88 | |
|
|
|
| |
$11..99 | |
|
$143.88 | |
|
|
||
| ROCKO RED |
|
$11..99 | |
|
$143.88 | |
|
|
|
| HEARTLAND RED | |
$9.99 | |
|
$119.88 | |
|
|
|
| SANGRIA | |||||||||
| NONA MIA SANGRIA |
$10.99 |
$131.88 |
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| SUBTOTALS | |
| Subtract 10% of cost for orders of 12 or more bottles -OR- "Friends Case Club Special Discount" | |
| ADD 6.5% Sales Tax | |
| Shipping & Handling: | (1) |
| (1) Add $15.00 for 2,4, or 6 bottle shipment and $20.00 for 12 bottle shipments (2) Add $8.00 per package for shipping OUTSIDE ILLINOIS. |
(2) |
|
TOTAL
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You must be 21 years of age or older to purchase wine online. When receiving shipment identification will be required.
We are only allowed to ship to the following states: California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Iowa, Illinois, Louisiana, Michigan, Minnesota, Missouri, North Carolina, North Dakota, Nebraska, New Mexico, New York, Nevada, Ohio, Oregon, South Carolina, Washington, Wisconsin, West Virginia, Washington DC and Wyoming. |
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This list cancels all previous list. Prices subject to change without notice. This list issued 2006