Ordering
is Easy!
We’ll ship from one bottle to any number of cases anywhere in the U.S.
as permitted by law. VISA and Master Card welcome! Call (215) 860-5899
or print out, complete and fax the following form to (215) 504-5902
to order.
TO PRINT THE ORDER FORM: Select the Form (drag from the first
row of asterisks ( * ) to the last. Right click and select
"PRINT". When the printer dialog box appears, highlight "selection"
in the print range box. Click OK to print.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * *
ROSE BANK WINERY ORDER FORM
QTY TYPE
OF WINE PRICE PER BOTTLE
| ____ Rose Bank
Blush |
$
8.99 |
____ Spice |
$
7.99 |
____ Cayuga |
$
9.99 |
| ____ Chardonnay |
$12.99 |
| ____ Sangria |
$
8.99 |
| ____ Summer Sangria |
$
8.99 |
____ Cabernet Sauvignon |
$14.99 |
| ____ Chancellor |
$
9.99 |
____ Vidal Blanc |
$
9.99 |
| ____ Noveau |
$
9.99 |
| ____ De Chaunac |
$
9.99 |
____ Concord |
$
7.99 |
____ Award-winning
Blueberry |
$12.99 |
____ Red Raspberry |
$11.99 |
____ Strawberry |
$11.99 |
____ Cranberry |
$11.99 |
____ Peach |
$11.99 |
____ Mulled Apple |
$
9.99 |
____ Sparkling
Blush |
$14.99 |
____ Sparkling Pinot
Noir |
$14.99 |
| TOTAL |
|
10% discount on case lots up to 3 cases
20% discount on more than 3 cases
___VISA ___Mastercard ____Discover
___Check Enclosed
Total Amount: $_________________________
Cardholder Name: _______________________________________
Billing Address: _______________________________________
________________________________________________________
Card Number: ___________________________________________
Exp. Date: ______________ Day Phone: __________________
Shipping address (if different than above):
________________________________________________________
________________________________________________________
Signature: _____________________________________________
MAIL OR FAX TO:
Rose Bank Winery
258 Durham Road, Newtown, PA 18940
Phone 215-860-5899 • Fax 215-504-5902
* * * * * * * * * * * * * * * * * * * * * * * * * * * * *
