| FROM ________________________________________ (name/phone number) |
FAX TO (509) 627-2071 Phone (Toll Free) 1-800-643-9463 |
Badger Mountain complies with all state and federal laws. Void where prohibited. Minors are forbidden by law to receive or send liquor or wine. Please note that due to state regulations, we may ship wine to the following states (more may be available, please call for an update):
| Alaska | Hawaii | Missouri | North Carolina | Washington |
| California | Idaho | Minnesota | North Dakota | West Virginia |
| Colorado | Illinois | Missouri | Ohio | Wisconsin |
| Connecticut | Indiana | Nebraska | Oregon | Wyoming |
| District of Columbia | Iowa | Nevada | South Carolina | |
| Florida | Louisiana | New Mexico | Texas | |
| Georgia | Missouri | New York | Virginia |
WINE ORDER - 10% discount for case purchases (12 btls/cs)
Badger Mountain Wine |
Powers Wine |
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| Qty | Wine | Price | Total | Qty | Wine | Price | Total | |
| NSA Chard | 10.00 |
Cabernet/Merlot |
12.00 |
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| NSA Merlot | 15.00 |
Chardonnay | 12.00 |
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| NSA Cabernet Sauvignon | 15.00 |
Muscat Canelli | 12.00 |
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| NSA Riesling | 9.00 |
Port (500 ml) | 17.00 |
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| NSA Port (375 ml) | 17.00 |
Merlot | 14.00 |
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| NSA Syrah | 15.00 |
Syrah | 14.00 |
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| VES Chardonnay | 10.00 |
Cabernet Sauvignon "Columbia Valley" | 14.00 |
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| VES Cabernet/Merlot Blend | 13.00 |
Cabernet Sauvignon Reserve Champoux Vineyard" | 30.00 |
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| VES Syrah | 13.00 |
Meritage "Reserve" | 35.00 |
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| VES Rose` of Cabernet | 9.00 |
Cabernet Sauvignon 3 Liter | 22.00 |
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| VES Seve` |
9.00 |
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| PURE RED |
24.00 |
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| PURE WHITE |
22.00 |
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SUBTOTAL ________________________________
WA Resident Sales Tax: (7.7%) +______________
Shipping & Handling +______________ (Call for quote 800-643-9463)
Total: (Adjustment will be made for applicable State sales tax)
$______________
Method of Payment:
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Card #_______________________________ | Exp. Date___________ |
Telephone
#_______________________Signature_______________________________
We will not process this order without a phone number and signature!
| Ship to Address | Bill to Address |
| Name | Name |
| Address | Address |
| City/State/Zip | City/State/Zip |
Special Handling instructions (i.e. gift card, 2nd-day air, etc.)