| Little Swan Lake Winery |
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| 1350 320th Ave. |
Order form can be sent by email, fax or mail, or can be called in. |
| Estherville, Iowa 51334 |
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| Ph. 712-858-4592 |
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| Fax - 712-858-4593 |
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| e-mail lslwinery@lslwinery.com |
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| Wines: |
Quantity |
Price |
Total |
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| Cabernet Franc @ $34.00/bottle |
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| Syrah @ $17.00/bottle |
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| Zinfandel 2005@ $18.00/bottle |
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| Cabernet 2003 @ $18.00/bottle |
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| Sangiovese@ $24.00/bottle |
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| "29" @ $19.00/bottle |
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| Buffalo Ridge Red @ $14.00/bottle |
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| Vignoles @ $12.00/bottle |
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| Marechal Foch @ $12.00/bottle |
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| Seyval Blanc @ $10.00/bottle |
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| Semi - Dry Reisling @12.00/bottle |
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| Semi - Sweet Reisling @12.00/bottle |
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| White Swan @ $10.00/bottle |
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| Buffalo Blush@ $10.00/bottle |
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| Prairie Cherry @ $10.00/bottle |
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| Strawberry Jam @ $10.00/bottle |
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| Forte @ $21.00/bottle |
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| Viognier@$18.00/bottle |
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| Buffalo Frost@$10.00/bottle |
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| Jazzberry @ 10.00/bottle |
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| Sub Total |
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| Shipping/Handling |
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| tax 7% in Iowa |
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| TOTAL |
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| Your shipping address |
Credit Card information |
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| First Name - |
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Master Card |
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| Last Name - |
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Credit Card Number |
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| City State |
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| Zip Code |
Expiration Dateate - |
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Phone number -
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| Shipping costs: |
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| 1 bottle - $8.50 |
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| 2-3 bottles -$13.00 |
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| 4-6 bottles - $18.00 |
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| 7-12 bottles - $25.00 |
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