2005 VINTAGE

OFFICIAL WINE JUICE ORDER FORM

PRINT and Complete this form. Payment must be received NO LATER THAN SEPTEMBER 26, 2005

White Grape Juice	Cost Per 6 gallon bucket - shipping included	# of Juice Buckets Ordered	Subtotal (cost x number of buckets)
Chardonnay	$36
Chablis	$33
Muscato	$36
Pinot Grigio	$40
Sauvignon Blanc	$36
Rose Grape Juice	Cost Per 6 gallon bucket - shipping included	# of Juice Buckets Ordered	Subtotal (cost x number of buckets)
Grenache	$33
White Zinfandel	$34
Red Grape Juice	Cost Per 6 gallon bucket - shipping included	# of Juice Buckets Ordered	Subtotal (cost x number of buckets)
Alicante	$36
Barbera	$36
Barolo	$36
Burgundy	$35
Cabernet Sauvignon	$37
Chianti	$37
Merlot North	$37
Petit Sirah	$37
Pinot Noir	$40
Ruby Cabernet	$36
Sangiovese	$35
Zinfandel	$38
JUICE		6 Gallon  Buckets
GRAND TOTAL AMOUNT	Calculate total for all your Grapes in the box to the right		$_________________

NAME:_____________________________ PHONE:___________________________________ e-MAIL___________________________________

Make your check payable to: SPECIAL WINE GRAPE ACCOUNT Mail to: WashingtonWinemakers.org Attn: William Meaux 10899 Featherfield Court Fairfax, VA 22030-4574

Payment must be received no later than September 26, 2005. E-mail questions to: wameaux150@aol.com
Copy this form or tell friends to look for Wine Grape Order Form at: http://www.washingtonwinemakers.org
$2 Per Bucket included in cost goes to benefit Villa Rosa Home of Mitchellville, MD.
One bucket is approximately two 36 lb. boxes of squeezed juice.Delivery is at VILLA ROSA, Saturday Oct 8.
Return to www.washingtonwinemakers.org