ORDER FORM

A imprimTo be printed out and returned with your cheque or postal order.
Can be sent by E-mail if paying by credit card.

Toute commandNo order is accepted without payment.
Possibility to mox bottles in boxes of 6 or 12.

Amount :

Bottle :

Price per bottle incl. tax

Total :

Duc d'Istrie

1995

1992

Chāteau Les Grauzils

1996

1995

1994

Wood boxes

TOTAL AMOUNT OF MY ORDER :

Address for bill to be sent to :

Delivery address :

Mr   Mrs     Ms
Name:
First name :
Address :

Postcode :
Town :
Tel. :
Fax :
Mr   Mrs     Ms
Name:
First name :
Address :

Potscode :
Town :
Tel. :
Fax :

Delivery details :

DatePreferred delivery date :

Please inform me of the delivery at the following telephone number :

Delivery conditions :

Method of payment :

By cheque made payable to Chāteau Les Grauzils.

By postal order

By credit card
(with the sign CB)..................... Card number :
Expiry date :

Available soon: safe payment by credit card, courtesy of the Banque Populaire du Quercy et de l'Agenais.

Any comments :

Your E-mail address :

Home page Chāteau Les Grauzils Prices list General sales conditions

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The vineyard   The vinification process   Advice from the wine cellar   The art of wine tasting   Recipes
Discover the Lot   Links   Write to us…

	Amount :	Bottle :	Price per bottle incl. tax	Total :
Duc d'Istrie
1995
1992
Chāteau Les Grauzils
1996
1995
1994
Wood boxes

Address for bill to be sent to :	Delivery address :
Mr Mrs Ms Name: First name : Address : Postcode : Town : Tel. : Fax :	Mr Mrs Ms Name: First name : Address : Potscode : Town : Tel. : Fax :

Delivery details :
DatePreferred delivery date :
Please inform me of the delivery at the following telephone number :
Delivery conditions :

Method of payment :
By cheque made payable to Chāteau Les Grauzils. By postal order
By credit card (with the sign CB).....................	Card number : Expiry date :