Order Form

Phone: 763-439-4748
Fax: 315-752-2828
Email: Mark@WRwine.com

Click here to join the White Rabbit e-mail list.

Futures:   A 10% discount, along with the highest priority choice of wines, will be given for future year case purchases.

Visa

MasterCard

Item #

Description

Qty.

Price

Subtotal

Sub-Total

9.0% Tax:

Shipping:

Total:

Method of Payment

Exp. date:

Credit Card #:

Name:

Address:

Phone

E-mail:

State

City:

Zip Code

Century Club Member?

Name as appears on card:

We have simplified prices. 

      Drink what you enjoy. 

           Mix and match in cases.

Print this page and fax to 315-752-2828 or call 763-439-4748

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