Castello Torre Ratti

Order Form

First Name:

Last Name:

Street Address:

City:State:Zip:

Credit Card:

Credit Card No.:Exp. Date:(Example)04/96

Product Order:

To order click the checkbox next to the price, type in how many bottles you want, then type the subtotal in the blank area. Add your subtotals and type that price into the total area.

Thank You

Table Red: Price per bottle-$34.95Quantity:Subtotal:

Gavi White: Price per bottle-$31.95Quantity:Subtotal:

Total:

Thank You