Cellar Society #________________ Order Date________________ Date Shipped________________ Order Information Billing Address: Name Street City State Zip Phone (Day & Evening) Case = 12 Bottles. Cases can be mixed. Case purchasers should calculate appropriate discount based upon individual bottle prices before including shipping and tax. Please call the winery during business hours if you are unsure of your discount or need assistance in placing your order. Shipping Address: (Check if same as Billing) Name Street City State Zip Phone (Day & Evening) Gift Message Wine Variety Bottles Price per bottle Quantity Total Seaport White $9.99 2006 Sheer Chardonnay $16.99 2004 Vidal Blanc $11.99 2006 Gewürztraminer $20.99 2006 Chardonnay $18.99 2003 Chardonnay $20.99 SOLD OUT 2006 Triad Rose $15.99 2004 Cabernet Franc $20.99 SOLD OUT See below for shipping information. Note to CT residents: Please add shipping to your order before calculating sales tax. Shipping and handling is considered a taxable service under Connecticut State Law. Wine Total Discount Shipping Subtotal CT residents add 6% Sales Tax Total Order             Shipping 1-3 BOTTLES - $20. 4-6 BOTTLES - $30. 7-12 BOTTLES - $35. Shipping Out of State: For correct shipping charges please call the winery during business hours at: 1-800-421-WINE or860-535-1222 Phone Orders: Orders may be placed by calling the winery between 11:00 am and 5:00 pm daily at: 1-800-421-WINE or 860-535-1222 Gift Orders: Gift orders may be sent by filling out the ship-to information with the shipping address of the person you want to receive the gift. There is a place to include a personalized gift card. Payment Information Mail or fax this form with your payment to: Stonington Vineyards PO Box 463 Stonington, Connecticut 06378 Fax: 860-535-2182 Payment Method Please check appropriate payment method ___ Check enclosed ___ Bill my credit card ___ Mastercard    ___ Visa   ___ AMEX   ___ Discover Card# Expiration Date Signature Disclaimer All wines are considered sold in Connecticut and title passes to the buyer in Connecticut. We make no representation to the legal rights of anyone to ship wines into any state outside of Connecticut. The buyer is solely responsible for the shipment of wines. By placing an order, you authorize us to act on your behalf to engage a common carrier on your behalf to deliver your wine to you. Wines may be sold only to persons 21 years old. By placing an order, you represent to us that you are at least 21 years old. When your wine is delivered to you, you will be required to show identification proving that you are at least 21 years old. Signature (for file)