Name:

Street:     City:

State:       Zip:

Phone: Day Evening

EMAIL:       Check Box to be included on EMAIL list:

Mail your completed order form along with your $50.00 deposit to:
LINGANORE WINECELLARS - Attn: Graphics Department, 13601
Glissans Mill Road, Mt. Airy, MD 21771 or FAX with Credit Card info to: (301) 829-1970

Amount Enclosed:

I am paying by: Credit Card      Check      Money Order

Credit Card Number: VISA   M/C    AMEX

Expiration (MM/YY):

 

PAYMENT INFORMATION
BILLING INFORMATION
DESIGN CHOICES (select only one in each catagory)
 

PLACE THIS VERSE IN - Left Panel    Right Panel  
(balance of your information appears in remaining panel)

SELECT YOUR WINES (375 ml. Bottles )

Mountain Pink         QTY:  x $5.00 each =  

Spiced Apple           QTY:  x $5.00 each =  

White Raven             QTY:  x $5.00 each =  

Fox Hunt Blush        QTY:  x $5.00 each =  

Mountain White       QTY:  x $5.00 each =  

Bacioni                      QTY:  x $7.00 each =  

 

**QUANTITY DISCOUNTS ARE AVAILABLE _ Please call or email

ADD YOUR TEXT BY PANEL

LEFT PANEL: Please add the following text to this panel.

CENTER PANEL: Unless otherwise noted, your previous selections for artwork, border and font will be used in the center panel. Please provide any additional information. If you are designing your own custom label, we rcommend you CONTACT the GRAPHICS DEPARTMENT at the vineyard to discuss.

Names on Label:

Date of the Event:

 

RIGHT PANEL: Please add the following text to this panel

ADDITIONAL CHARGES FOR CUSTOM LABELS (add to wine total)
Add a $10.00 one time set-up fee for basic labels
Add a $20.00 one time fee if you are using a custom graphic which you supply.
Add a $15.00 fee for each piece of art we will need to scan ie: (not supplied on disk).
Add a $25.00 fee for typesetting your custom text (not a stock verse as shown).
PER LABEL FEES FOR CUSTOM LABELS (add to charge above and wine totals)
Parchment Labels : $0.50 each
Hi-Gloss Photo Paper Labels: $1.00 each

SPECIAL INSTRUCTIONS TO ART DEPARTMENT