CASA DUMETZ WINES ORDER FORM _____Spring 2016_____Join our wine club_____ WINES PRICE QTY Viognier Tierra Alta Vineyard 2014 $30 # Gewurztraminer Santa Ynez 2013 $30 # Roussanne La Presa Vineyard 2014 $32 # Syrah Tierra Alta Vineyard 2013 $30 # Grenache Santa Ynez Valley 2014 $35 # Grenache Rosé Tierra Alta 2014 $28 # Syrah Rosé Tierra Alta 2014 $28 # GSM Santa Ynez Valley 2013 $35 # SUBTOTAL Subtotal: California resident only sales tax 8.00%: SHIPPING: SHIPPING RATES: 1-3 bottles: $20 4-6 bottles: $30 7-12 bottles: $50 BILLING ADDRESS: SHIPPING ADDRESS: (if different) Name: Name: Address: Address: City: State: City: Zip: Zip: PHONE: PHONE: EMAIL: EMAIL: State: Credit Card #: EXP (MM/YY) Signature: Please call 805-344-1900 or email at: smee@casadumetzwines.com SEC. CODE #: