BRADLEY VINEYARDS ORDER FORM

BRADLEY VINEYARDS ORDER FORM

We do not have a formal e-commerce capability, so ordering is conducted by email, or by phone. Please be aware that we do not have a secure web-site, so you may wish to order over the phone or by fax. Shipping is billed at the actual costs and is calculated by us after we receive your order. Please be sure to supply us with the following information upon your order by phone or e-mail:

Name
Shipping address (we ship UPS so street address required - no P.O. Boxes)
Contact phone number
Charge Card info (credit or debit, VISA or Mastercard only)
Cardholder name, card number, expiration date

Bradley Vineyards would like to ship wine to anyone so wishing, but current state/federal laws restrict our ability. Please call to inquire about your state.

Phone 541 584-2888 Fax 541 584-2474 E-mail:bbradley@cascadeaccess.com

Your name:__________________________________________________________________

Shipping address: ____________________________________________________________

City: ____________________________________ State: ________ Zip: ______________

Phone#: ________________________ E-mail: ____________________________________

Visa/MasterCard #_________________________________ Expiration date ______/______

Case and 1/2 Case discounts available for all wines except the Baco Noir.

ORDER FORM:
Product - A Case contains 12 Bottles	Quantity	X	Price	Total
2003 Pinot Noir bottle		X	$21.00	$
2003 Pinot Noir case		X	$252.00	$
2004 Pinot Noir bottle		X	$22.00	$
2004 Pinot Noir case		X	$264.00	$
2005 Pinot Noir bottle		X	$20.00	$
2005 Pinot Noir case		X	$240.00	$
2006 Pinot Noir bottle		X	$24.00	$
2006 Pinot Noir case		X	$288.00	$
2007 Riesling bottle		X	$14.00	$
2007 Riesling case		X	$168.00	$
Umpqua Rose bottle		X	$14.00	$
Umpqua Rose case		X	$168.00	$
Baco Noir bottle		X	$28.00	$
Sub-total:				$
Please note: We cannot ship to PO boxes or restricted states. By submitting this form you will not hold Bradley Vineyards & Winery responsible for any damages as a result of this communication. By submitting this form you agree that buyers and recipients are 21 years or older. We do not offer any refunds, credits and cannot accept returns. Please no exceptions.
Shipping:				$
GRAND TOTAL				$

Thank you for your order!!

IF YOU HAVE ANY ANY QUESTIONS, OR NEED FURTHER ASSISTANCE PLEASE CALL: 541 584-2888