Billing Address
2005  Mavelese  $32
   
2005 Cabernet Sauvignon $26
   
2004 Cabernet Sauvignon $26
   
2006 ZInfandel $27
   
2006 Pinot Noir $30
   
2007 Syrah Rose $17
   
2007 Viognier $22
   
2007 Sauvignon Blanc $20
   
Subtotal
   
Gremark Wine Club Discount (if applicable)
   
CA tax 7.25%
   
Total
   
Total costs will be adjusted to include shipping
   
Wines
Gremark Vineyards
Order Form
Quantity
Subtotal
Name
Address
City                                                     State          Zip
Phone
Email
Name
Address
City                                                        State          Zip
Business Phone
Email
Shipping Address (Business Address
Preferred)
Visa  ____________Mastercard______________      
Credit Card Number:                                                       ExpDate                           CVV Number
Signature (required)                                                            Date:
Payment Method
You must be 21 years old to purchase wine. Adult signature required upon delivery.
Please print and complete this form and fax or send it to the following address.
Gremark VIneyards, 5325 Rancho La Loma Linda Dr., Paso Robles, CA 93446.
Or call us at
Tel: 805-237-0154         Fax: 805-237-0154