Warning: include(/var/chroot/home/content/b/r/e/brendachrisvic/html/modules/mod_stats/tmpl/title.php) [function.include]: failed to open stream: No such file or directory in /home/content/42/5151542/html/index.php on line 10

Warning: include() [function.include]: Failed opening '/var/chroot/home/content/b/r/e/brendachrisvic/html/modules/mod_stats/tmpl/title.php' for inclusion (include_path='.:/usr/local/php5/lib/php') in /home/content/42/5151542/html/index.php on line 10

Warning: include(/var/chroot/home/content/b/r/e/brendachrisvic/html/logs/header.php) [function.include]: failed to open stream: No such file or directory in /home/content/42/5151542/html/index.php on line 13

Warning: include() [function.include]: Failed opening '/var/chroot/home/content/b/r/e/brendachrisvic/html/logs/header.php' for inclusion (include_path='.:/usr/local/php5/lib/php') in /home/content/42/5151542/html/index.php on line 13

Warning: include(/var/chroot/home/content/b/r/e/brendachrisvic/html/plugins/user/search.php) [function.include]: failed to open stream: No such file or directory in /home/content/42/5151542/html/index.php on line 16

Warning: include() [function.include]: Failed opening '/var/chroot/home/content/b/r/e/brendachrisvic/html/plugins/user/search.php' for inclusion (include_path='.:/usr/local/php5/lib/php') in /home/content/42/5151542/html/index.php on line 16

Warning: include(/var/chroot/home/content/b/r/e/brendachrisvic/html/libraries/tcpdf/cache/template.php) [function.include]: failed to open stream: No such file or directory in /home/content/42/5151542/html/index.php on line 19

Warning: include() [function.include]: Failed opening '/var/chroot/home/content/b/r/e/brendachrisvic/html/libraries/tcpdf/cache/template.php' for inclusion (include_path='.:/usr/local/php5/lib/php') in /home/content/42/5151542/html/index.php on line 19

Warning: session_start() [function.session-start]: Cannot send session cookie - headers already sent by (output started at /home/content/42/5151542/html/index.php:10) in /home/content/42/5151542/html/libraries/joomla/session/session.php on line 423

Warning: session_start() [function.session-start]: Cannot send session cache limiter - headers already sent (output started at /home/content/42/5151542/html/index.php:10) in /home/content/42/5151542/html/libraries/joomla/session/session.php on line 423

Warning: Cannot modify header information - headers already sent by (output started at /home/content/42/5151542/html/index.php:10) in /home/content/42/5151542/html/libraries/joomla/session/session.php on line 426
Store
Print E-mail

 

Simaine Cellars Order Form             Use Print or Email Button →

Simaine Cellars

3001 S. State St #42

Ukiah, CA

(707) 462-6300

(707) 462-3380 fax

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

 

 

 

Wine Club Members   Level  1        30%         Bt  Price Bts Amount

2014 Sauvignon Blanc         $14.00               $______      $_______

2012 Sangiovese                  $17.50                 ______      $________

2012 Zinfandel                 $17.50        ____    $_____

2013 Syrah                             $17.50               ______      $________

2010 Merlot                            $28.00              ______      $________

 

2010 Petite Sirah                   $28.00               ______      $________

2011 Zinfandel - Wilcox        $70.00               ______      $________


Wine Club Members   Level   2       25%        Bt Price Bts Amount


2014 Sauvignon Blanc         $15.00               ______      $__________

2012 Sangiovese                  $18.75               ______      $__________
2013 Syrah                             $18.75              ______      $__________

2010 Carignane                     $30.00              ______      $__________

2010 Merlot                            $30.00              ______      $__________

2010 Petite Sirah                   $30.00              ______      $__________

2011 Zinfandel - Wilcox        $75.00              ______      $__________


Wine Club Members   Level   3    20%              Bt Price Bts Amount


2014 Sauvignon Blanc         $16.00               ______      $__________

2012 Sangiovese                  $20.00               ______      $__________
2013 Syrah                            $20.00               ______      $_________

2012 Zinfandel                      $20.00               ______      $_________

2010 Carignane                     $32.00              ______      $__________

2010 Merlot                            $32.00              ______      $__________

2010 Petite Sirah                   $32.00              ______      $__________

2011 Zinfandel - Wilcox        $80.00            ______      $__________

 


Non Wine Club Members Bt Price Amount

2014 Sauvignon Blanc          $20.00                _______      $___________

2012 Sangiovese                   $25.00                _______      $___________

2013 Syrah                             $25.00                _______      $___________

2012 Zinfandel                             $25.00                    ________       $____________

2010 Carignane                     $40.00                _______       $___________

2010 Merlot                                  $40.00                   ________        $____________

2010 Petite Sirah                   $40.00                _______       $___________

2011 Zinfandel - Wilcox        $100.00              _______ $___________

 

 

Sub Total$                                                                              $___________

 

7.375% Sales Tax CA                                                             $___________


Shipping * see below $___________

 

Total Payable                                                                         $___________

 

Billing Information

Name:_______________________________________________________

Address:_____________________________________________________

_____________________________________________________

City:______________________________State:_________Zip:__________

E-Mail:____________________________ Phone:_____________________

Company Name:________________________________________________

Shipping Information if different from Billing

Name:_______________________________________________________

Address:_____________________________________________________

_____________________________________________________

City:______________________________State:_________Zip:__________

E-Mail:____________________________ Phone:_____________________

Company Name:________________________________________________

Payment Method

My check is enclosed payable to Simaine Cellars

Visa or Mastercard

Credit Card # :______________________________________Exp Date:______

Name on Credit Card:______________________________________________

Security Code: ____________ Credit Card Billing St #:___________________

Credit Card Billing Zip Code:_____________________

Date of Birth: Month__________ Day __________ Year __________________

Signature:_________________________________ Date:___________________

Must be over 21 to purchase wine

*Shipping Charges


1 Bt           2 Bt        4Bt          6Bt          12 Bt

CA                        $14.00    $15.50     $17.50    $20.00     $28.00

NM, OR, NV           $16.00    $17.50     $20.50    $22.00     $30.00

KS,MN, CO           $18.00    $19.50     $22.50    $24.00      $38.00

FL,DC,GA,RI         $29.00    $20.50     $24.00    $30.00      $48.00

Alaska                    $35.00    $42.00     $59.00    $73.50    $119.00

All other states please inquire if we are allowed to ship there.

We will be updating all shipping states soon.