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.


No order is accepted without payment.
Possibility to mix bottles in boxes of 6 or 12.



 

Amount :

Bottle :

Price per bottle incl. tax

Total :

Château Lamartine        

1996

1995

1994

1993

Cuvée Particulière        

1996

1995

1993

1992


Reductions :
For all orders over 60 botles :
1,00 F. per bottle for 60 to 120 bottles
2,50 F. per bottle for 132 to 300 bottles.
3,00 F. per bottle for over 300 bottles

For all orders under 36 bottles :
Supplément to tarif for mainland France :

+2,00 F./Btlle per 24
+4,00 F./Btlle per 12
+12,00 F./Btlle per 6
Frais de port :

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 :


Postcode :
Town :
Tel. :
Fax :


CoDelivery details :

 

Preferred delivery date :

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

Delivery conditions :


Method of payment:

 
 By cheque made payable to
Château Lamartine.

 By postal order
 
 ParBy 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:

     


 

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