THE PIEDMONT WINE COMPANY LTD..............ORDER FORM

At present, we do not offer online ordering facilities. There are currently three ways to order:
1. By mail by printing this form and mailing with either a cheque or your credit card details to:
The Piedmont Wine Company Limited. The Tanners, 75 Meadrow, Godalming. Surrey GU7 3HU.
2. By Fax by printing this form, sending it with your credit or debit card details to 01428 656485.
3. By phone on 01428 658896 (we suggest you print and keep a copy of this form for your records).

Mr/Mrs/Miss/Ms/ ................... Initials .................... Surname .......................................................
Delivery Address .............................................................................................................................................................
...................................................................................................................................................................................................
................................................................................................... Postcode ...........................................
Daytime phone .................................................... Email address ......................@.........................

Please order in multiples of 6 bottles = half case. Minimum order is 12 bottles, equivalent to one case in total.

Number of half cases
Wine
Price per half case
£ sub-total
  Dolcetto d’Alba DOC 2001 £73.50  
  Barbera d’Asti DOC 1991 £172.50  
  Barbera del Monferrato DOC 1990 £157.50  
Sub-total before delivery costs  
Delivery cost: Order values of less than £150.00 will be plus a Courier charge of £10.00.
Orders greater than £150.00 will incur a delivery charge of £5.00. All orders over £200.00 will be delivered free of delivery charge.
Please add delivery cost
 
TOTAL COST £

PAYMENT BY CHEQUE: I enclose a cheque for £ ..................., payable to: The Piedmont Wine Company Ltd.
PAYMENT BY CREDIT CARD OR SWITCH CARD:
Please charge my Visa/ Mastercard/ Switch Card
Card Number:
Security
Code:
Expiry Date: Issue Number
(if using Switch)
                                       
 
       
   






SIGNATURE: ...............................................
.(I confirm that I am over 18) ......DATE:.............................................