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Wine-order Form

Wine-order Form

Alef - 2012 CABERNET

INFO

Last Name
First Name
Address
City, State, Zip
Phone
Email
WINE PRICES

$36 per bottle

bottles x $36 = $

Case Discount (12 bottles)

$420.00

Wine will be available for pick-up at Chabad. If you would to add shipping, please indicate so in the notes below and we will calculate the costs for you.

PAYMENT
Name on Card
Card Number
Exp. Date
CVV Security Code

Please provide any additional details here:

Please review all your entries carefully and click submit only once
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