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Ordering Et Fille Wines Please print the following form and fill it out, then fax it or mail it to the address/fax number below. Please see the restrictions on shipping and sales taxes at the bottom of the page. Wine Quantity Price Sub-total 2006 Viognier Deux Vert   $26/bottle $ 2006 Rosé   $16/bottle $ 2006 Pinot Noir- Willamette Valley   $24/bottle $ 2006 Pinot Noir- Palmer Creek Vineyard   $32/bottle $ 2006 Pinot Noir- Kalita Vineyard   $38/bottle $ 2006 Pinot Noir- Maresh Vineyard   $42/bottle $ subtotal     $ discount   10% if 12 or more bottles $ Sales tax (CA,NY,NC,WA)*     $ Shipping, in Oregon   $20/ 6 pack, $28/ case $ Shipping, CA,WA   $28/ 6 pack, $40/ case $ USA Ground Shipping, except HI and AK (Ground not available in summer)   $40/ 6 pack, $54/ case $ TOTAL     $ Billing Address Shipping Address ( [ _ ] same as billing) Name: Name: Address: Address: City, State Zip: City, State Zip: Day phone: Email: Payment Method:____Cash ____Check (to Et Fille Wines) ____Visa / MasterCard #_________________________________________________________  Expiration Month/Year___________________ 3 digit number on the back of your card_________ Your name exactly as it appears on the card____________________________________________ Signature_____________________________________________________Date_____________ Restrictions: You must be over 21 to order wine. You or someone over 21 must sign for the wine when it is delivered. We can ship only to CA, HI, IL, IA, MN, MO, NM, NY, NC, OH, OR, WA, and WI. * Sales Tax: CA 8.25%, NY 8.25%, NC 6.5%, WA 8.5%