Please provide the following ordering information:
QTY DESCRIPTION   Price
Bottle      
  Muscat Canelli   18.00
  Barbera   28.00
  Muscato Secco   32.00
  Primitivo   22.00
  Toscano Eccellente   30.00
Case   
  Muscat Canelli   192.00
  Barbera   302.00
  Muscato Secco   345.00
  Primitivo   237.00
  Toscano Eccellente   324.00

BILLING
Account Name  

 

 
Phone Number
Email address
CREDIT CARD INFO
Card Type
Card Number
Exp Month Year
3 or 4 digit
security code 		 

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country 





		
 

		
		
	




Please note that you must be 21 yrs or older in order to purchase and receive delivery of alcoholic beverages. Photo ID will be required.

        

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    by Personal Publishers.., George S. Forsyth, All rights reserved