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Please Fax or Mail to:
Hanover Park Vineyard
1927 Courtney-Huntsville Rd
Yadkinville, NC 27055
(336) 463-2875, fax (336) 463-2875
hanoverparkwines.com
[email protected]

Wine Order Form

Name: __________________________________________________________________
Street Address: ___________________________________________________________
City: ______________________________, State: _______, Zip Code: _______________
Telephone Number: ________________________________
Payment: Check Master Card Visa
Card Number: ____________________________________, Exp. Date: _____________
Signature: ___________________________________, Date Ordered: ______________

________________________________________________________________________

Dry Red Wines
Price
 
# Bottles
 
Total Cost

2001
2001
2001
2002

Cabernet Sauvignon
Cabernet Franc
Mourvedre
Chambourcin

$18.99
$14.99
$16.99
$13.99

X
X
X
X

________
________
________
________

=
=
=
=

_sold out_
_sold out_
_________
_________
Dry White Wines

2001
2001
2002
2002

Barrel Fermented Chardonnay
Chardonnay - unoaked
Viognier
Rosé - semi sweet

$13.99
$11.99
$14.99
$9.99

X
X
X
X

________
________
________
________

=
=
=
=

_________
_________
_________
_________
Sweet Wine

2002

Early Twilight 375 ML

$9.99

X

________

=

_________
Hanover Blue $14.00 X

Case = 12 bottles. Cases can be mixed.

Please call about shipping outside NC

10% Case Discount
NC Sales Tax
Shipping

TOTAL

_________
_________
_________

_________

Case -

12 bottles:
6 bottles:
2 bottles:

$22
$19
$12

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