| Name | |||
| Address | City | Postal Code | |
| Day phone # | Evening phone # |
| Organic Red Wine Varieties | $ per 22.5 litre pail of must | number of pails | extended cost |
| Cabernet Franc | $110 | ||
| Merlot | $125 | ||
| Zweigeltrebe | $85 | ||
| Baco Noir-waiting list picking week of Sept 7th | $85 | ||
| Cabernet Sauvignon | |
$125 | |
| Organic White Wine Varieties | $ per 20 litre pail of juice | number of pails | extended cost |
|
Chardonnay waiting list |
$120 | ||
|
Chardonnay Musquee waiting list |
$120 | ||
| Vidal waiting list | $85 | ||
| Geisenheim 318-57 | $90 | ||
| Subtotal | total number of pails | total cost | |
| # | $ | ||
| Deposit | 50% of juice total | $ | |
| Pails required ? yes __________ no _________ | $10.00 deposit | # required | $ |
| Quantity discount applicable ? | more than 10 pails | $ | |
| Estimated Order Total | $ |