Amalie Robert Estate – Current Releases

Promotion Code: __________

	Bottles	Price	Total
2009 Chardonnay		$22.00
2009 Viognier		30.00
2008 Pinot Meunier		26.00
2007 Vintage Debut Pinot Noir*		30.00
2007 Amalie’s Cuvée Pinot Noir*		50.00
2007 Estate Pinot Noir*		50.00
2007 The Reserve Pinot Noir		70.00
2006 Dijon Clones Pinot Noir*		40.00
2006 Amalie’s Cuvée Pinot Noir*		50.00
2006 Estate Pinot Noir*		50.00
2006 The Reserve Pinot Noir*		70.00
		Total	$
Sub-total			$
12 or more bottles, deduct 10%			( )
Shipping ($3 per bottle)		$3.00
Grand Total (Including Shipping)			$

*Magnums available upon request.

We currently ship within Minnesota, Oregon & Washington. All orders are shipped Federal Express Ground and require an adult signature. If you require shipping to other states, please contact us via e-mail at dena@amalierobert.com. We will do everything we can to accommodate your order.

Payment Check: Payable to Amalie Robert Estate

AMEX/Mastercard/VISA __________________________ Expiration Date __/__

(Please circle one)

Card Verification Number ________ Signature ____________________________

(AMEX: 4 digit number on front; mastercard/Visa: 3 digit number on back)

Billing Address

Name: ______________________________________________ Phone: _____-___________

Address: ___________________________________________ City: __________________

State: ____ Zip Code: _________ E-mail: _______________________________________

Shipping Address (if different from above)

Name: ______________________________________________ Phone: _____-___________

Address: ___________________________________________ City: __________________

State: ____ Zip Code: _________ E-mail: _______________________________________

Please print and mail your order and payment to:

Amalie Robert Estate, P.O. Box 395, Dallas, Oregon 97338

Or e-mail to dena@amalierobert.com if placing a credit card order