RustRidge Winery Order Form

Billing Information

Name:

Address:

City: State: Zip:

Phone:

e-mail:

or FAX (optional):

Payment:Check VISA MC AMEX DISCOVER

Card Number: Security Code:

Expiration Month: Year:

Check if you are an existing wine club member
Your special discount will be applied to the purchase.

Shipping Information

Check if shipping and billing information are the same

Name:

Address:

City: State: Zip:

Phone:

Signature: ______________________________________

Special Instructions:

CURRENT RELEASES		QTY.	AMOUNT

LIBRARY SELECTIONS
2000 Cabernet Sauvignon	Inquire
Subtotal:
5% Discount - 6 to 11 bottles 10% Discount - 12 bottles 15% Discount 13-23 bottles 20% Discount - 24 bottles or more	Discount:

TRIFECTA WINE CLUB
Club Level: Club type:		Join Now!
Automatic shipment of 12 bottles (Mar & Nov) 8 red & 4 white

OTHER ITEMS
Offer Code:
Subtotal:
7.75% Sales Tax: California Only
Grand Total:

We strongly suggest a business address for delivery as an adult signature will be required during the day.
The shipping cost will be billed to your credit card by the shipper. Approx. $30/case in California and $40-$80/case (5-7 day Ground) to: AZ, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KY, LA, MD, ME, MN, MO, MI, MT, ND, NE, NJ, NM, NV, OH, OK, OR, RI, WA, WI, WV, WY, NC, SC, SD, TN, TX, VA, & VT (with permit).
If your state is not listed above, please call for an estimate. The shipping cost will be billed to your credit card by the shipper. Ship rates vary from state to state.
If unfavorable weather conditions arise, someone from the winery will contact you to make alternate shipping arrangements or possibly postpone your order until temperatures are more favorable.

Or mail form to: RUSTRIDGE WINERY, 2910 LOWER CHILES VALLEY ROAD, ST. HELENA, CA 94574
Or fax to: 707-286-5502
Or order by phone: 800-788-0263