STEP 1


Please fi ll in the customer number and catalog code from the back of this catalog.


Customer Number Catalog Code


STEP 5 Please complete all of your gift and recipient information. GIFT #1 - RECIPIENT ADDRESS BELOW


First Name


STEP 2 Please complete billing and contact information. BILL TO (AS LISTED ON CREDIT CARD)


Name


Address City


( ) Phone (in case we need to contact you)


Orders without payment will be delayed. 


y  e  q  Email METHOD OF PAYMENT t  Check/Money Order GIFT #2 - RECIPIENT ADDRESS BELOW


Payable to: Wine Country Gift Baskets Exp. Date


Month Year Signature of card holder Date CONTACT INFORMATION IF DIFFERENT FROM CREDIT CARD HOLDER


Name (


Daytime Phone Email STEP 3


Select or compose a gift message if it is the same for each gift, otherwise use the lines provided under each recipient. Visit our website for premium greeting card options.


GIFT MESSAGE - IF USING THE SAME MESSAGE FOR EACH GIFT


1. Please select a gift message from our most popular choices:  Have a merry Christmas!  Warmest wishes for a joyful holiday season!  Season’s greetings!  Happy holidays!


2. Or, if you prefer, compose your own 180 character message here: 3. Then personalize with the name of the gift sender (e.g. Regards, John Doe) STEP 4


Please make sure that all wine shipments comply with that state’s direct shipping laws.


As of press time, ALL wine may be shipped to:


AK, AZ, CA, CO, CT, DC, FL, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OH, OR, SC, TN, VT, WV, WI, WY.


Barrel Hoops, Bricklane, Callister, Cliffside, Crossridge Peak, Eastpoint, Edenbrook, Hobson, Houdini, Kiarna, Little Lakes, Rock Falls, Steeplechase, Talaria, Vintners Path and Viti Della Terra wine gifts may be shipped to: GA, NY, TX, VA, WA.


Visit our website or call for details and more gift selections. You must be 21 years or older to order a wine gift basket and an adult signature is required upon delivery.


Fax Page of FAX TO (714) 525-0746 STEP 6 Please total your order. ORDER TOTAL MERCHANDISE TOTAL


SALES TAX (Applicable tax will be added to wine and spa gifts, depending on the delivery state. Visit our website for more information.) STANDARD SHIPPING TOTAL (See item detail.)


EXPEDITED SHIPPING (Add $6 for 3-Day, $10 for 2-Day, $20 for Overnight or $35 for Saturday delivery, per basket, to the standard delivery charge.) ORDER TOTAL


THANK YOU FOR YOUR ORDER. First Name


Company Address City


( ) Phone (Required)  Ship to credit card holder


SHIP TO ARRIVE: Christmas:  Week of 12/03  By Thanksgiving  ASAP  Week of 12/10  By New Year’s  Week of


 Week of 12/17 Gift message:


/ /


SHIPPING GIFT TOTAL


ITEM # NAME OF ITEM QTY. PRICE Last Name )


Company (


Evening Phone ) First Name


Company Address City


( ) Phone (Required)  Ship to credit card holder


SHIP TO ARRIVE: Christmas:  Week of 12/03  By Thanksgiving  ASAP  Week of 12/10  By New Year’s  Week of


 Week of 12/17 Gift message:


/ /


SHIPPING GIFT TOTAL


ITEM # NAME OF ITEM QTY. PRICE Last Name Company


Company Address City


( ) Phone (Required)  Ship to credit card holder State Zip


SHIP TO ARRIVE: Christmas:  Week of 12/03  By Thanksgiving  ASAP  Week of 12/10  By New Year’s  Week of


 Week of 12/17 Gift message:


/ /


SHIPPING GIFT TOTAL


ITEM # NAME OF ITEM QTY. PRICE Last Name


State


Zip


State


Zip


GIFT #3 - RECIPIENT ADDRESS BELOW


State


Zip


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