Castalia Wines Order Form
2006 Vintage

Number of Bottles
Price per Bottle

Price to AK, CO, IA , IL, MN, MO, NM, OR, WI, FL*

Price to CA and all other states (includes 7.75% sales tax)

6
$50
$300
$323.25
12
$50
$600
$646.50

Magnum
(call for availability)

$100
$100
$107.75

*Florida requires proof of sales tax payment

Make your check payable to Castalia Wines
(Remember: shipping charges are additional and will be billed to your credit card by the shipper)

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Print this form from your browser and mail it with your check or money order to:
(Send an email notifying me of your order and I will hold your wine for up to 7 days until your payment arrives)

Castalia Wines
PO Box 32
Geyserville, CA 95441

Castalia Wines™ will arrange shipping to CA, CO,ID, IA, IL, 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, and VA. These states go Air Freight and costs about $85 per case and $55 for 6 bottles. 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.

Name as it appears on card: ______________________________________________

Card number: _______________________________________3-digit code: ________
(our shipping agent accepts MC, Visa, Amex, and Discover)

Expiration date: _____________

Telephone number: _____________________________________

Shipping Address: ______________________________________________________

____________________________________________________________________

Mailing Address: _______________________________________________________
(if different from shipping address)

____________________________________________________________________

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

Signature: ____________________________________________________________

Please include any special instructions below: