Napa Valley Wines
Ship To:
Napa
Valley Wines
Ship
To:
| Name: | _______________________________________________________________________________ | ||||
| Address: | _______________________________________________________________________________ | ||||
| City: | ________________________________________________ | State: | _______ | Zip: | ____________ |
| Telephone: | (________)_____________________________________ | E-Mail: | ________________________ | ||
We ship to the following states ONLY and to people that are 21 yrs. of age. If your state is not listed below, we are not currently able to ship directly to you. Please contac us for shipping information and rates.
AK, CA, CO, DC, GA, HI, IA, ID, IL, MN, MO, NC, ND, NE, NV, OR, SC, TX, WA, WI, WV, WY
Fill in your selections:
 |
3 Bottle Pack 2002 Cavernet Sauvignon @ $135.00 each | $________ |
|
_____Case(s) - 2002 Cabernet Sauvignon @ $540.00 each | $________ |
|
3 Bottle Pack 2001 Cabernet Sauvignon @ $135.00 each | $________ |
|
_____Case(s) - 2001 Cabernet Sauvignon @ $540.00 each | $________ |
|
3 Bottle Pack 2003 Syrah @ $105.00 each | $________ |
|
_____Case(s) - 2003 Syrah @ $420.00 each | $________ |
|
_____Magnum(s) - 2001 Cabernet Sauvignon @ $120.00 each | $________ |
| Total
from Items Selected Above: |
$________ |
|
| Sales
Tax 7.75% (California Residents Only): |
$________ |
|
| Shipping: |
$________ |
|
| TOTAL
ORDER: |
$________ |
|
PAYMENT METHOD: Please charge my: Visa
Mastercard
Account #__________________________________________________ Expiration Date:___________
Signature (Must Be 21 Years of Age)_____________________________Telephone Number (___)_________
Name (as it appears on your card) ______________________________E-Mail Address _________________
Credit Card Billing Address ____________________________________State _______ Zip__________
Fax or send form to:
NAPA 
CALIFORNIA
94558 TELEPHONE: 209.728.9345
FAX: 209.728.9213 PERRYVINES@AOL.COM
WWW.PERRYVINEYARDS.COM