ORDER FORM

Order online below or print and mail form to:
Fourth Estate Wines
P.O. BOX 2097, Mill Valley, CA 94942-2097

If you have any trouble with our electronic order form, we can easily fill your order by phone or fax.
Please email your order to jeff@fourthestatewinery.com or call 303-596-5468.

 

Our Current Releases
10 percent discount on 12 or more bottles

Enter Bottle Count

Fourth Estate 2015 Chardonnay
Dutton Ranch, Russian River Valley
$28.00
$336.00 case
$302.40 case
Fourth Estate 2015 Pinot Noir
La Cruz Vineyard, Sonoma Coast
$38.00
$456.00 case
$410.40 case
Fourth Estate 2014 Chardonnay
Dutton Ranch, Russian River Valley
$28.00
$336.00 case
$302.40 case
Fourth Estate 2011 Pinot Noir
Bacigalupi Vineyard, Russian River Valley
$38.00
$456.00 case
$410.40 case
Fourth Estate 2009 Pinot Noir
Bacigalupi Vineyard, Russian River Valley
$38.00
$456.00 case
$410.40 case
PROCEED TO ONLINE CHECK OUT >

Need help? Contact us: jeff@fourthestatewinery.com or 303-596-5468.

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**** AREA BELOW FOR USE IF YOU WISH TO ORDER BY FAX OR EMAIL. ****
NOT FOR USE IF YOU WISH TO PROCEED TO THE CHECK-OUT CART.
- Print this page, scan and email to jeff@fourthestatewinery.com -

Subtotal:

 

Add 8.5% tax for CA deliveries:

 

SHIPPING CHARGES: In California, $10 flat fee; West of the Mississippi: $3 per bottle; East of the Mississippi: $4 per bottle.
We are only allowed to ship to certain states. The following states do not allow direct-to-consumer shipping: Alabama, Arkansas, Delaware, Kentucky, Maryland, Massachusetts, Mississippi, Montana, New Jersey, Oklahoma, Pennsylvania, South Dakota, Utah.


Amount Due:

 

Name__________________________________

email_____________________________________

Phone__________________________________

Fax______________________________________

Billing Address (Please Print)

Shipping Address (Please Print)

Address________________________________ Address___________________________________

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City____________________________________

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State________________________Zip________

State________________________Zip_________

Billing Phone__________________________

 Shipping Phone__________________________

You must be 21 years old to purchase wines. We can not ship to Post Office box addresses.

Credit Card:  VISA   MasterCard   AMEX (Circle One)

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