Cook Family Winery
PRINTABLE Form to purchase wine by mail or by FAX-
Wines are available for purchase in case, half case or smaller bottle quantities
For Orders by mail, Please print and complete the order form and mail to:
Cook Family Winery         - 264 Crystal Springs Rd - St. Helena, CA – 94574
     
For Fax orders:  Please print this form, fill out and fax to: 707-963-8990

Shipping rates and state laws vary so please allow us to get back to you with the final amount to
include shipping and packaging

Make checks payable to ‘Cook Family Winery’.  
•        UPS delivery available in California and most states.
•        Please note:  Adult Signature is Required for Delivery (does not have to be addressee)
•        Local orders can be picked up at the winery or in San Francisco by previous arrangement
•        Call 707-963-7760 or email CookWinery@gmail.com with questions

Ship to:  
NAME  ___________________________________________  DATE  ____________________

ADDRESS  __________________________________________________________________

CITY, STATE  ______________________________________   ZIP ______________________

TELEPHONE  ___________________________  EMAIL  ______________________________

Discounts apply to mixed orders































* This form is to order and pay by check or to use as a worksheet for credit card orders.  
We use PayPal to process credit card payments.
You do not need to have a PayPal account to utilize PayPal.
To purchase wine with a credit card or through your PayPal account, Go to our
‘purchase wines’.
Wine
Price/Bottle
# BOTTLES
  $ Amount
g Cook Cabernet Sauvignon
37.50/bottle
   
Ain't Your Daddy's, Zinfandel
19.50/bottle
   
g Cook Merlot
22.50/bottle
   
Glass Ceiling,   2008 Sauvignon Blanc
14.50/bottle
   
g Cook Sauvignon Blanc 2007
19.50/bottle
   
POLE DANCER
a Rose of Cabernet Sauvignon
11.75/bottle
   
SUB TOTAL
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15% Case Discount (12 bottles or more)
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10% off 6 or more bottles
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SUBTOTAL
     
California Resident  8.75% sales tax
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Shipping (call for this amount)
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ORDER TOTAL