2007 HARVEST
Mail, FAX, or Bring in now! (NO E-MAIL ORDERS) (NO PHONE ORDERS!)To: The Home Wine/Beer/Cheesemaking Shop
22836-2 Ventura Blvd. Woodland Hills, Ca. 91364
(FAX: 818-224-3812) (Phone: 800-559-9922)
(Sorry, no e-mail or phone ordering.) PRINT CLEARLYVARIETAL QUANTITY $/Lb or Gal. $ AMOUNT
_____________________ _____________ __________ ____________
_____________________ _____________ __________ ____________
_____________________ _____________ __________ ____________
_____________________ _____________ __________ ____________
_____________________ _____________ __________ ____________
NAME ______________________________________
ADDRESS ____________________________ GRAND TOTALS $____________
_____________________________ ZIP___________
(-) QUANTITY DISCOUNT $____________
E-MAIL ADDRESS: _________________________________________
DAY PHONE ( )-___________________ SUBTOTAL $____________
CELL PHONE ( )-___________________
EVENING PHONE ( )-___________________
I'll be out-of-town from _________________ (-) 50% DEPOSIT $____________
My back-up is __________________________ Phone ________________
AMOUNT OF CHECK or CHARGE ENCLOSED $____________
Visa/MC/Disc/AMEX # _________________________________________________
Signature _______________________________ Expiration date _______________