Wine Order Form

Print and mail this form:

Green Family Winery
3420 Pine Ridge Lane, Auburn, California 95603
Telephone: 530 888 8866
eMail: cgreen@greenfamilywinery.com


Retail Price List
Green Family Winery
 

Retail
Price

Bottles
Ordering
Extended 
Price
Claret 2003
$19
   
2002 Syrah, Barrel Select
$36
   
Sierra Syrah 2003
$19
   
Barbera d' Auburn 2004
$18
   
CA orders add sales tax
Volume Discounts: (mixed O.K)  10% on case
Shipping: Costs to Add
Add Shipping to: 2-3 Bottles 4-9 Bottles 10-12 Bottles
California ** $12.00 $17.00 $24.00
CO, IA, ID, IL, MO, NM, NV, OR, WA, WI $14.00 $27.00 $39.00
MN, WV $16.00 $37.00 $45.00
Subtotal $
Less Discount $
7.5% Sales Tax $
Shipping If Applicable $
Total Due $
Make check payment to:
Green Family Winery
3420 Pine Ridge Lane, Auburn, California 95603
 

States we ship to:
Alaska   Arizona   California   Colorado   Connecticut    Florida   Georgia   Hawaii   Idaho   Illinois   Iowa   Louisiana   Michigan   Minnesota   Missouri    Nebraska   Nevada   New Hampshire   New Mexico   New York   North Carolina   North Dakota   Ohio    Oregon   Rhode Island   South Carolina   Texas   Vermont   Virginia   Washington   Washington DC    West Virginia   Wisconsin

* Sorry, but other states present problems that we can not solve at this time. Orders will be shipped in special boxes. No orders shipped in July, August, or September due to heat!

If Credit Card, Card #:                                             Expires:                (*)Verification #:
Circle card type:             Visa              MasterCard            Amex            Discover
Customer Signature (if charged):
Name:
Address:
 
Phone#
Fax/Email
(*) card verification number : on all cards except Amex it is the last 3 digits on the signature strip on the back. On Amex cards it is the 4 small digits just above & to the right of the card number, on the front