Wine Club Order Form

Wine Club Order Form

Members of the Udderly Different Wine Club may use this form to conveniently arrange shipping of wine using payment and shipping information already on file. The form is secure because you broadcast no information except your name. Sometimes limited wines will be available here as a way to show our appreciation.

Name
ADDRESS (if different)
CITY (if different)		ZIP (if different)
Email (if not using your normal PC)

Vintage	Product	Qty	Price
2008	Muscat		$16.20
2008	Siegerrebe		$12.60
2007	Pinot Noir Kelsey		$18.90
2007	Pinot Noir Sophie		$21.60
2007	Gabriela		$21.60
2005	Tempranillo Elena		$28.80
2006	Tempranillo Reserve		$30.60
Specials (please limit 9 per customer), will change frequently.
2006	Pinot Noir Kelsey		$30.00
2004	Pinot Noir Ruby Carbiener		$22.50