Order form

Prices per bottle in euros (including all taxes)

Vin Paillé (Straw Wine), white or red

Prices as of November 1, 2010

Shipping free for an order of 6 bottles

Vintages	1 bottle	2 bottles	6 bottles (shipping included)
2006 - 2007	21.00 €	20.50 €	20.00 €

Nut oil: 10€ /bottle
Nut wine : 12€ /bottle
(Professionals: contact us; you will be offered prices according to the number of ordered bottles.)

Cost of shipping by Port Colissimo packing (running price at la Poste) :
2 bottles: 10.50 € 3 bottles: 12.40 € 6 bottles: shipping free
(Consult us for larger orders.)

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Please print and fill the following order form and mail it, together with your payment, to:

Jean Louis Roche
Domaine du Bas Queyssac
19120 Queyssac les Vignes
France

You order will be sent within five days of the reception of your order and payment.

Don't forget to mention here vintage you wish to order:


Nb of bottles of white Vin Paillé:  Price per bottle: Amount:   (1)
Nb of bottles of red Vin Paillé:  Price per bottle: Amount:   (2)
Nb of bottles of nut oil:  Price per bottle:     Amount:    (3)
Nb de bottles of nut wine:   Price per bottle:     Amount:    (4)
                                 
                                                       Total (1)+(2)+(3)+(4) 
                                                              Transport charges  
                                                       TOTAL for this order

Please write down your address below:

Name :

First name :

Address :



E-mail address :

Return to the home page: The Vin paillé of the Domaine du Bas Queyssac

jeanlouisroche@orange.fr
Telephone: 05 5591 0521 Mobile phone: 06 8345 9442
http://domainedubasqueyssac.com/