| Lailey Vineyard Order Form telephone 905 468 0503 fax 905 468 8012 email orders@laileyvineyard.com |
| all wines are VQA (100% Ontario grown) | bottle size | price / bottle | quantity | wine total |
| 2007 Riesling | 750
ml |
$18.00 |
||
| 2006 Gewürztraminer | 750
ml |
$20.00 |
||
| 2006 Sauvignon Blanc | 750
ml |
$20.00 |
||
| 2006 Sauvignon Blanc Fumé | 750
ml |
$25.00 |
||
| 2006 Chardonnay Unoaked | 750
ml |
$16.00 |
||
| 2006 Chardonnay Niagara Peninsula | 750
ml |
$20.00 |
||
| 2005 Gamay Rosé | 750
ml |
$14.00 |
||
| 2005 Cabernet Franc Rosé | 750
ml |
$16.00 |
||
| 2005 Zweigelt | 750
ml |
$12.00 |
||
| 2006 Pinot Noir Niagara River | 750
ml |
$25.00 |
||
| 2006 Merlot | 750
ml |
$25.00 |
||
| 2005 Cabernet | 750
ml |
$20.00 |
||
| 2004 Cabernet Sauvignon | 750
ml |
$20.00 |
||
| 2004 Cabernet Sauvignon Canadian Oak | 750
ml |
$30.00 |
||
| 2004 Cabernet Franc | 750
ml |
$25.00 |
||
| 2006 Vidal Late Harvest | 375
ml |
$15.00 |
||
| 2006 Vidal Select Late Harvest | 375
ml |
$20.00 |
||
| 2005 Vidal Icewine Barrel-Aged | 200
ml |
$28.00 |
||
| wine total | ||||
less than 750ml .10 / 750ml or more .20 |
bottle deposit | |||
| delivery (plus gst) | ||||
| total | ||||
name__________________________________________________ "I certify that I am 19 years of age or older, and that a person who is not intoxicated and is 19 years of age or older (and has photo identification of proof of age issued to that person by a government) will be present at the delivery address to sign for receipt of this wine." place a check mark here________ address ________________________________________ city/province ________________________ postal code ____________ area code / telephone ______________________________ email ________________________________ visa _____ mastercard _____ amex _____ credit card # __________________________________________ expiry date _________ shipping address (if different from above) address ________________________________________ city/province ________________________ postal code ____________ special instructions _________________________________________________________________________________________ |