Weggy Winery Order Form - Print and Fax to (608) 647-8013

Bill To:  Name: ________________________________

Address: ______________________________________

City: _______________________   State: _____

Zip: ________   Phone: __________________

Ship To:  Name: _______________________________

Address: ______________________________________

City: _______________________   State: ______

Zip: _______   Phone: ___________________

Product # Bottles $ per bottle # Cases $ per case Total $
Oakey Red (Proprietor’s Choice) dry  

$16.00

 

$176.00

 
Weggy Red (dry)   $9.00  

$99.00

 
Oak Ridge Red (Wisconsin Foch) semi-dry   $8.75   $96.25  
Red Table Wine — Sweet   $8.00   $88.00  
Marlys Blush (semi-sweet)   $8.50   $93.50  
Weggy Blue (semi-sweet white wine)   $9.50   $104.50  
Autumn Crisp (dry white wine)   $10.00   $110.00  
White Table Wine — Semi-Sweet   $7.00   $77.00  
Vanilla Oak (dry white wine)   $9.00   $99.00  
Apple Wine — Sweetened with honey   $8.50   $93.50  
Cherry Wine (dry)   $10.00   $110.00  
Apple Cherry Wine (sweet)   $8.75   $96.25  
Cherry Sweet Wine   $10.00   $110.00  
Weggy White (dry)   $9.00   $99.00  
Apple & Black Currant (sweet)   $9.75   $107.25  
Riesling (dry)   $12.00   $132.00  
Cranberry (semi-sweet wine)   $9.50   $104.50  
Harvest Gold (semi-sweet white wine)   $9.25   $101.75  

For any questions, our phone number is 608-647-6600 or email us at weggy@merr.com

Subtotal:  
How did you hear about us? A Friend___  Repeat Customer ___   Wine Shop ___  Restaurant ___    Online/Other____________ + 0.055% tax:  

We will fill in shipping/handling charge after it has been determined…

Subtotal before ship chg:  
S & H (based on ship to state; zip code & weight) States we can ship to: CA, CO, FL, ID, IL, IN, IA, MI, MN, MO, NM, WA, WI
Please include phone # or email address and we will advise you of shipping charge – THANK YOU. email:_________________________
+ Shipping/Handling:  

WE APPRECIATE YOUR BUSINESS - THANK YOU!

Grand Total:  

Credit Card Type: 
____Master Card    ____Visa    ____Discover      Card# ______________________________
CSC#____________     Exp. Date _____/_______    Date of Birth (required by Wisconsin law): ___ / ___ / ___
(last 3 digits on back of card)

Cardholder Name: ________________________________ Signature: ___________________________