Parry Cellars

Cabernet Sauvignon Order Form

Billing/Credit card address: Daytime Delivery Address:








Evening Phone: Daytime Phone:
E-Mail Address: FAX:

We can legally ship directly to customers in the following states: AK, CA, CO, DC, FL, GA, ID, IL, MD, MI, MN, MO, NV, NH, NY, NC, OH, OR, TN, TX, WA, WI and WY. All wine is sold in California and title passes to the buyer in California. We make no representation to the legal rights of anyone to ship or import wine into any state outside California. The buyer is solely responsible for shipment of wine. By placing an order, you authorize us to act on your behalf to engage a common carrier to deliver your order to you. Wines may be sold only to persons who are at least 21 years old. In placing your order you represent to us that you and the person to whom delivery will be made is at least 21years old. When your wine is delivered, the person receiving delivery may be required to show identification proving that he/she is at least 21years old. And depending on where you live we might have to ask for your birthdate!

2009 Cabernet Sauvignon ________ Bottle(s) @ $60.00 per bottle $__________
(750 ml)



2010 Cabernet Sauvignon ________ Bottle(s) @ $60.00 per bottle $__________
(750 ml)



2010 Cabernet Sauvignon ________ Bottle @$150.00 per bottle $__________

(1 bottle limit)



Subtotal $__________
SHIPPING via Ground*
(please call for other shipping arrangements)



CA CO DC FL AK GA ID IL MD MI NH NY CA shipments only
add 8% sales tax


1-3 bottles $20.00 $35.00 Shipping* $__________
4-6 bottles $28.00 $61.00


7-12 bottles $37.00 $98.00


1 Magnum $18.00 $32.00 TOTAL $__________
*This amount includes sales tax for: GA ID IL MD MI NH NY NC OH TN TX WA WI and WY
If your state is not listed please call us at (707) 967-8160.


Check enclosed ____


Charge my credit card:
(AMEX, VISA or MC only)
Exp. Date

Please print and complete this form and mail it with your check payable to Parry Cellars
or fax/mail this form with your credit card information to:
Parry Cellars
3424 Silverado Trail N.
St. Helena, CA 94574

If you have any questions concerning your order please do not hesitate to call us at (707) 967-8160;
Fax: (707) 967-8161 or e-mail us at: