ORDER FORM

Order online below or print and mail form to:
Fourth Estate Wines
P.O. BOX 2097, Mill Valley, CA 94942-2097

If you have any trouble with our electronic order form, we can easily fill your order by phone or fax.
Please email your order to jeff@fourthestatewinery.com or call 303-596-5468.

Our Current Releases

Price — 10% discount with 12 or more bottles

Enter Bottle Count
Fourth Estate 2009 Pinot Noir
La Cruz Vineyard, Sonoma Coast		 36.00 bottle
$456.00 case 388.80 case
Fourth Estate 2009 Pinot Noir
Bacigalupi Vineyard, Russian River Valley		 36.00 bottle
$456.00 case 388.80 case
Fourth Estate 2008 Pinot Noir
La Cruz Vineyard, Sonoma Coast		 36.00 bottle
$456.00 case 388.80 case
Fourth Estate 2008 Pinot Noir
Doctor's Vineyard, Santa Lucia Highlands		 36.00 bottle
$456.00 case 388.80 case
PROCEED TO ONLINE CHECK OUT BY CLICKING ORDER NOW >

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**** AREA BELOW FOR USE IF YOU WISH TO ORDER BY FAX OR MAIL. ****
NOT FOR USE IF YOU WISH TO PROCEED TO THE CHECK OUT CART.

To order by mail, please complete the fields below and mail to
Fourth Estate Wines, P.O. Box 2097, Mill Valley, CA 94942-2097.

Subtotal:

 

Add 9.00% tax for CA deliveries:

 

SHIPPING CHARGES: In California, $10 flat fee; West of the Mississippi: $3 per bottle; East of the Mississippi: $4 per bottle.
We are only allowed to ship to certain states. The following states do not allow direct-to-consumer shipping: Alabama, Arkansas, Delaware, Kentucky, Maryland, Massachusetts, Mississippi, Montana, New Jersey, Oklahoma, Pennsylvania, South Dakota, Utah.

 

Amount Due:

 

Name__________________________________

email_____________________________________

Phone__________________________________

Fax______________________________________

Billing Address (Please Print)

Shipping Address (Please Print)
Address________________________________ Address___________________________________

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City____________________________________

City______________________________________

State________________________Zip________

State________________________Zip_________

Billing Phone__________________________

 Shipping Phone__________________________

You must be 21 years old to purchase wines. We can not ship to Post Office box addresses.

Credit Card:  VISA   MasterCard   AMEX (Circle One)

Card #_________________________________

Expiration Date_____________________________

Signature_______________________________

Date_____________________________________

r.5/11