Pentamere Winery - Web Order Form

Wine List • Purchasing Our Wine • Order Form • Retailers • Wine & Food

Order Form

Name:

Date of Birth:

(mm/dd/yyyy)

Daytime Phone:

Email:

Mailing Address:

City/State*

*Pentamere can ship anywhere in Michigan, and selected other states. If you don't live in Michigan, contact us, and we'll tell you if we can ship to you. Unfortunately, we cannot ship to Canada.

Zip:

My ID is on file:

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Please Add Me to Your Mailing List:

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How would you prefer to receive your information:

E-mail Postal Mail

Wines
Quantity	Description & Price
	Wings of the Wind—dry white wine ($13.00)
	Dry Riesling—dry white wine ($18.00)
	Morningstar—dry white wine ($14.00)
	White Swan—dry white wine ($15.00)
	Cascaden Cabernet Sauvignon—dry red wine ($20.00)
	Walk-in-the-Water—dry red wine ($25.00)
	Le Griffon—dry red wine ($32.00)
	Monarch of the Glen—medium-dry red wine ($15.00)
	Harvest Apple—medium-dry fruit wine ($11.00)
	Michigan Cherry—medium-dry fruit wine ($11.00)
	Celebration White—semi-sweet white wine ($10.00)
	Mariner's White—sweet white wine ($10.00)
	Vidal Eiswein—white dessert ice wine ($40.00—375ml)
	Cabernet Franc Eiswein—red dessert ice wine ($50.00—375ml)
	Fireside—Spiced red dessert wine ($12.00)
	Red Wine Jelly ($6.00)
	Blush Wine Jelly ($6.00)
	Pinot Gris Wine Jelly ($6.00)
	Cherry Wine Jelly ($6.00)
	Apple Wine Jelly ($6.00)

Comments:

Note: We are not asking for payment at this time. We will contact you by phone with shipping arrangements, an order total and payment information. We will need a copy of your drivers license for verification purposes.

WARNING! Minors providing false information when obtaining alcoholic beverages over the Internet will face criminal prosecution and civil liability. Violators may be charged under federal law with wire and credit card fraud, and under multiple state laws prohibiting the attempted purchase or possession of alcohol by minors. Penalties include monetary fines, jail time, criminal probation, loss of driver's license and a criminal record that must be disclosed on job and college applications. Licensed sellers of alcohol (including wineries and retailers) who pay large fines and lose alcohol license privileges for sales to minors are entitled to sue the minor for compensation. All Internet customers must provide a credit card number and delivery address and can therefore be POSITIVELY identified to law enforcement. IF YOU'RE UNDER 21 -- DON'T RISK YOUR FUTURE!