Georg Rafael Vineyards, Napa Valley
2222 Third Avenue - Napa, CA 94558 – USA
Tel. +1 707 254 9489 – Fax. +1 707 253 8331
Email. info@rafaelvineyards.com

ORDER FORM
Should you prefer to fax the order form to us or send it as an attachment by email, please download Order Form (Word document)

DELIVERY ADDRESS

Name First name
Address  
 
City
  
Zip Code State Country
Telephone Fax
Email  
 

 

BILLING ADDRESS (if different from delivery address)

Name First name
Address  
 
City
  
Zip Code State Country
Telephone Fax
Email  
 

ORDER
DOMAINE GEORG RAFAEL PÈRE & FILS - CABERNET SAUVIGNON

Vintage
Price per bottle
(in USD)
Price per unit/case 12 bttls
(in USD)
Number
of cases
Total
(in USD)
1998
30.00
360.00
1999
32.00
384.00
2000
32.00
384.00
2001
34.00
408.00
2002
34.00
408.00
2003
30.00
360.00
2004
30.00
360.00
  For Germany, Benelux, Italy, UK and Ireland, please add $150 for 1 case or $250 for 2 cases.
  For Austria, Switzerland, Scandinavia, Southern Europe and Channel Islands, please add $185 for 1 case or $300 for 2 cases.
  All other countries, please contact us for shipping charges.
 
-
TOTAL

*Wholesalers - Please contact us for our wholesale prices.

Your order will be confirmed by email.

Payments:

By Check: Please make checks payable to Georg Rafael Vineyards

Pay Thru: Bank of America, San Francisco, CA
Swift Code: BOFAUS6S
For Further Credit to First Republic Bank, Acct. No. 12331-22793
For the Benefit of Georg Rafael Vineyards, Acct. No. 967-0000-0230

powered by Powered by Bravenet bravenet.com