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 US 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)

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Address  
 
City
  
Zip Code State Country
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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
40.00
480.00
1999
44.00
528.00
2000
44.00
528.00
2001
42.00
504.00
2002
42.00
504.00
2003
40.00
480.00
2004
40.00
480.00
  For continental US, please add $40 shipping cost per case.
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

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