Clyde Village Wine Online Order Form

Clyde Village - Order Form
Full Name*

First NameLast Name
Delivery Address*

Street Address

Street Address Line 2

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Phone Number*

Area CodePhone Number
E-mail*
Pinot Noir
2 Pack ($68.00)
Quantity
Half Case ($192.00)
Quantity
Case ($360.00)
Quantity
Rose
2 Pack ($52.00)
Quantity
Half Case ($150.00)
Quantity
Case ($282.00)
Quantity
Pinot Noir and Rose - Mixed
2 Pack ($60.00)
Quantity
Half Case ($175.50)
Quantity
Case ($342.00)
Quantity
Special Requirements
How did you hear about us?*
Order a T-Shirt for only $35.00
PLEASE NOTE: You will receive information on how to make payment with your order confirmation email. Your wine will be delivered once payment is received. All prices include GST. Freight will be calculated and confirmed with your invoice.
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Clyde Village - Order Form