To place your Castalia Wine order using a Credit Card:
Print this form from your browser and mail it, or Call me at 707-857-3376.
(Email me at dboss@castaliawines.com to notify me of your order and I will hold your wine for up to 7 days until your payment arrives)

Mail to:

Castalia Wines
PO Box 32
Geyserville, CA 95441

Castalia Wines™ will arrange shipping via UPS to CA, CO, ID, IA, MO, NE, NM, OR, WA, WI and requires Credit Card information (for shipments to all other states you must arrange shipping yourself)

UPS will not deliver to the following States: AL, AR, GA, KS, MA, MS, MD, ND, NH, NJ, NY, TX, and VA. These states go Air Freight and cost is about $85 per case. Please check with Fitch Mtn. Pkg. 707-433-1247 to confirm actual cost and delivery requirements. Remember that a business address is much cheaper than to a residence. PA and UT are State controlled and require special arrangements with the State.

The wine is insured for $100; additional insurance is $1.00 per $100. Your wine will be insured for the full amount unless you specify otherwise.

Please bill my credit card $_____.___ for (circle one) 6 - 12 - 24 bottles (see order page for pricing).
(Shipping charges are additional and will be billed to your credit card separately by the shipper)

Card number: ___________________________ 3-digit code: ______ Expires: ________

Name as it appears on card: ________________________________________________

Credit Card Billing address: ________________________________________________

City _____________________________ State _____________ ZIP ________________

Telephone number: Day____________________ Evening________________________

Email: ________________________________________________________________

Shipping Address: _______________________________________________________
(if different from billing address)

City _____________________________ State _____________ ZIP ______________

I acknowledge that I am at least 21 years of age, have read the information provided regarding approximate shipping costs related to this order, understand that that information is approximate, and agree to have all shipping charges related to this order billed to my credit card directly by the shipper.

Signature: ____________________________________________________________

Please include any special instructions below: