Six Strings Winery - Wine Order Form

INSTRUCTIONS:

To purchase wine direct from the winery, please complete and submit this form.

You will receive a confirmation of your request via e-mail along with the total amount due, including any taxes and shipping charges. We offer free shipping in California for orders of 12 bottles or more. For credit card customers, a winery representative will call you at the phone number provided in the form to confirm your request and obtain your credit card information.

Full Name: *

Date of Birth (You must be 21 to order wine): *

Street Address: *

City: *

State: *

Zip Code: *

Phone Number with Area Code: *

E-Mail Address: *

WINES AVAILABLE ONLINE: *
2007 Pinot Noir @ $24.00 per bottle
2007 Cabernet Sauvignon @ $24.00 per bottle
2008 Chardonnay @ $16.00 per bottle
Combination Order (Describe in the Special Instructions section)

Quantity: (3 bottle minimum for shipping) *

Add a Six Strings Winery T-Shirt for $12.00 (all sizes available)

Preferred Payment Method (Payment is not due until wine is shipped): *

Special Instructions: