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US Wine Order Form for The Producer (2018)

US 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: $95 US a bottle ($1140 US) 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.

* credit card processing is handled in Canada in C$, converted to US$ by your credit card company. Some slight rounding errors may occur.

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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