Colorado Mountain Fine Jams and Jellies

Order Form 6-oz. Wine Jellies & Gift Boxes

BILLING ADDRESS
Name
Company
Address
City, State, Zip
Phone
Cell Phone
E-Mail

SHIPPING ADDRESS
Name
Company
Address
City, State, Zip
Phone
Cell Phone
E-Mail

INDIVIDUAL JARS $5.50 3 JARS FOR $15.00 ($5.00 EACH)
GIFT BOX SETS OF 3 JARS: $16.00

We will total the cost of your order plus shipping and handling and call you to get your credit card information.
Free shipping on orders of $50 or more when shipping to same location.
A handling fee of $2.50 will be charged on all orders.

PLEASE INDICATE QUANTITIES OF EACH FLAVOR YOU ARE ORDERING .

GARFIELD ESTATES WINERY	QTY	GRANDE RIVER WINERY	QTY	SPERO WINERY	QTY
Fumé Blanc		Chardonnay		Cabernet Sauvignon
Vin Rosé		Merlot		Merlot
		Sauvignon Blanc		Muscat
		Syrah
		Viognier		GIFT BOXES (see below)

GIFT BOXES come in sets of 3. Please indicate the 3 flavors you want in your gift box(es). If you would like us to include a message with your gift box, write your message in the space below.

Comments/Questions:

Colorado Mountain Fine Jams & Jellies / Plum Daisy Kitchen
3573 G Road
Palisade, CO 81526
PHONE: (866) 464-0745

E-mail us: orders@plumdaisy.com