Billing Address                                                                       Delivery Address (if different)

______________________________________                  _____________________________________
Name                                                                                     Name
_______________________________________                _____________________________________ Address                                                                                  Street Address (no PO Box please)
_______________________________________                _____________________________________
City                         State                     Zip                             City                  State                                Zip _______________________________________                _____________________________________
Daytime phone                              Evening phone                   Daytime phone at delivery address (required)
____________________________________________________________________________________

Please ship the following (all are 750 ml).  Cases consist of 12 bottles:                                                        Extension

___ btl(s) ___ case(s) Betsy's Backacher Bottle Blond California 2008                $17/bottle, $204/case $_______

___ btl(s) ___ case(s) Chardonnay-Viognier, North Coast 2009                            $20/bottle. $240/case $_______

___ btl(s) ___ case(s) Chardonnay Gustafsson Vineyard, Carneros 2008              $30/bottle. $360/case $_______

___ btl(s) ___ case(s) Mourvèdre, California 2009                                               $19/bottle. $228/case $_______

___ btl(s) ___ case(s) Mo Zin, California 2008                                                     $20/bottle, $240/case $_______

___ btl(s) ___ case(s) Betsy's Backacher (Red), California Lot 8                         $17/bottle,  $204/case $_______
___ btl(s) ___ case(s) Merlot, Sonoma County 2006                                             $25/bottle, $300/case $_______

___ btl(s) ___ case(s) Cabernet Sauvignon, Mayacamas Range 2006                   $35/bottle, $420/case $_______

___ btl(s) ___ case(s) The Classic Four, California 2008                                       $20/bottle. $240/case $_______

___ btl(s) ___ case(s) Syrah, Russian River Valley 2003                                  $22.50/bottle, $270/case $_______
___ btl(s) ___ case(s) Mo Jo, Sonoma County 2005                                         $40.00/bottle, $480/case $_______     
VERY LIMITED RELEASE WINES:

___ btl(s) ___ case(s) Cabernet Sauvignon, Alexander Valley 2005                      $44/bottle, $528/case $_______

___ btl(s) ___ case(s) Cabernet Sauvignon, Cross Creek Vyd. 2007                      $50/bottle, $600/case $_______

___ btl(s) ___ case(s) Cabernet Franc, Alexander Valley 2008                              $25/bottle, $300/case $_______
___ btl(s) ___ case(s) Malbec, Dry Creek Valley 2008                                           $30/bottle, $360/case $_______ 
___ btl(s) ___ case(s) Petit Verdot, Dry Creek Valley 2008                                    $35/bottle, $420/case $_______

                                                                                                                             Subtotal:                      $_______

                                                                                             Less 10% on 12 or more bottles:               - $_______

Payment method:  __Check     __Mastercard    __Visa                          9% sales tax (CA only):            $_______

Credit Card #:______________________________  Exp. Date: ___________

CA, WA & OR Shipping charges: 12 btls.: $30 6 btls.: $20 3 btls.: $14  2 btls.: $12     Shipping:             $_______

All Other States Shipping charges: 12 btls.: $40 6 btls.: $25 3 btls.: $16  2 btls.: $13

July 1 - Sept. 15 WE SHIP BY AIR – RATES ARE DOUBLE THOSE ABOVE                                                                                                                                        Total:               $_______

I am at least 21 years old and agree to the above charges________________________________________

                                                                                         Signature guaranteeing minimum age requirement