Wines
Purchase order
Mr
Mme
Mlle
Name
Firstname
Adress
Zip
City
Tel.
Fax
Email
I wish to control (by paperboard of 6 bottles)
:
nbre de cartons
prix unitaire
montant
Rasteau 98
Rasteau 99
Vouvray 95 dry
Vouvray 95 medium
Vouvray 96 dry
Vouvray 97 marrowy
Vouvray effervescent dry
Vouvray effervescent medium
Total amount :
€ T.T.C. in the cellar. Handing-over de :
€,.
The wine grower will contact you in the 48 hours for the payment and forwarding.