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Canadian Wine Order Form for The Producer (2018)

Canadian Credit Card Authorization for The Producer (2018)
Please charge my: *
Expiry month
on back of card, beside your signature area
*For your safety and security, we now require that you enter your credit card’s verification number. For Visa or MasterCard, the verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number.

AUTHORIZATION

Amount of Authorized Charge: $145 CDN a bottle ($1740 + $87 gst = $1827 CDN) per case

Authorization *
enter today's date
We will contact all individuals who have placed orders and confirm order quantity and shipping address. The credit card will be processed only when product is shipped.


COMPLETED FORM will be submitted to

The Oak & Priest Winery
Attention: Lindsay Nyenhuis
Fax: (403) 246-0247
Email: info@oakandpriest.com
Mailing: 1324 17th Ave SW, Suite 200, Calgary, AB, Canada T2T 5S

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