Wine Request Form

Name

First Name

Last Name

Birthday

For age verification

MM

DD

YYYY

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Wines Requested

Purchase Terms

I agree to the terms below

TERMS

By submitting this form, you agree to purchase your requested wines. Your purchase can be picked up at Cave Noire, 100 N Wenatchee Ave, Wenatchee, WA 98801 or shipped to you for an additional charge. You will receive an invoice from SJS Wine and Spirits LLC via email for payment details prior to pickup/shipment. Thank you.