2005 Mavelese $32
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2005 Cabernet Sauvignon $26
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2004 Cabernet Sauvignon $26
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2006 ZInfandel $27
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2006 Pinot Noir $30
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2007 Syrah Rose $17
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2007 Viognier $22
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2007 Sauvignon Blanc $20
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Subtotal
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Gremark Wine Club Discount (if applicable)
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CA tax 7.25%
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Total
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Total costs will be adjusted to include shipping
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Wines
Gremark Vineyards Order Form
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Subtotal
Name
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Address
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City State Zip
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Phone
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Email
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Name
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Address
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City State Zip
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Business Phone
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Email
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Shipping Address (Business Address Preferred)
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Visa ____________Mastercard______________
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Credit Card Number: ExpDate CVV Number
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Signature (required) Date:
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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
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