1. Can mix any combination of 12 for case pricing
ORDER FORM
Wines from Italy --- July 26, 2016
Delivery Instructions
Brokers & Consultants
of Fine Wine
Sold to
Please provide 9-5 address
Phone #
*** Address
QTY
WINE
PRICE
CASE PRICE
NV "Premium" Lambrusco di Sorbara Vecchia Modena DOC, Emilia-Romagna
$15.95
$14.36
2012 Vie de Romans Chardonnay “Ciampagnis Veras”, Friuili
$37.50
$33.75
2010 Querciavalle Chianti Classico, Toscana
$25.00
$22.50
2010 Poliziano Vino Nobile di Montepulciano Asinone, Tuscana
$59.50
$53.55
2009 E. Pira & Figli Chiara Boschis Barolo Mosconi, Piemonte
$89.00
$80.10
Marenco Brachetto d’Acqui ‘Pineto ’, Piemonte
$24.00
$21.60
Can mix any combination of 12 for case pricing
$10 delivery charge will be applied for orders under 6 bottles
Credit Card #
Wines fullfilled by:
Dallas Fine Wines
3518 Oak Lawn Ave
Dallas TX 75219
Can pick up wines at store during their normal business hours
Expiration
Security Code
Billing Address