Wine Order form for: Eden Stuart Wines/Fourwater Green LLC.

Please mail or fax to:

17698 Healdsburg Ave.

Healdsburg, CA, 95448
Tel: (707) 695-0017 Fax: (707) 431-2414

Website: www.fourwatergreen.com

Ship to:
First Name ______________________ Last Name _________________________________

Street (no P.O.Boxes please) _________________________________________________ Apt _____

City __________________________________ State ________ Zip __________  

Telephone ____________________________

Email address _______________________@__________________

Case/s Price/case $ Amt.
2005 Eden Stuart Petite Sirah Mendocino_______ $420/cs _______

2005 Eden Stuart Korte Ranch Zinfandel _______ $400/cs _______

2005 SO Zinfandel _______ $180/cs _______

Subtotal Wines: _______

CA residents please add 7.75% sales tax 0.775 x _______________

Total: _______________

Shipping & Handling by UPS Ground in the Continental USA (We currently ship to CA, CO, ID, IL, IA, MN, MO, NM , OR, WA, WV, WI).

Case Amt. Total S&H ($50/case in CA, $65/case all other states)

_________ x _______ = __________


Total Amount of order including Shipping and Handling _____________
Please complete the order form and figure out the total.

We normally ship by UPS within 72 hours of receipt of your order.

You can pay by Check or Money Order. Please make out your Check or Money Order to: Fourwater Green LLC.