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To Order wine, please provide us with the following contact information:

Wine order:   Clover Selection Sauvignon Blanc
 		 6 x 750ml x
    Clover Selection Chenin Blanc 6 x 750ml x
    Clover Selection Chardonnay
(unwooded)  		 6 x 750ml x
    Clover Selection Shamrock Red 6 x 750ml x
   
    Winemaker Selection
Wooded Chardonnay 
 		 6 x 750ml x
    Winemaker Selection Shiraz 6 x 750ml x
   
Name:
Street address:
Address (cont.):
City:
State / Province:
Zip / Postal code:
Country:
Cell phone number:
Fax number:
E-mail:

Thank you.
You will be contacted shortly.

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