Name*

Phone*

Email*

Number of Bottles*

Granite Hills Cellar, Pinot Noir, California, 2017

Leda, "Truffle Hunter," Barbera d'Asti, Italy, 2018

Herdade São Miguel, "Sul" Red, Portugal, 2016

Secret Cellars, Cabernet Sauvignon, California, 2018

"707 Sonoma County," Chardonnay, California, 2018

TerraPura, Sauvignon Blanc Reserva, Chile, 2018

Vento di Mare, Pinot Grigio, Italy, 2020

Château Le Raz, "Socius," White Blend, France, 2019

Col Verde, Prosecco, Italy, 2019

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Card Number*

Card Expiration*

Card CVV*

In-Store Pickup or Shipping?*

In-Store Pickup

Shipping (Only available to North Carolina residents)

Is your Shipping Address the same as your Billing Address?

Yes

No

Shipping Address

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