Mail or Fax Your Wine Order

Please print this form if you prefer to fax (650.560.9878) or mail us your order.

Products

# of items	Products	Retail Price	Wine Club Price
	2006 The Angel's Share, Saralee's Vineyard, White Rhone Blend, Russian River Valley	$26.00	$22.10
	2006 Santa Barbara County, Syrah	$41.00	$35.00
	2006 Cabernet Sauvignon, Napa Valley	$55.00	$47.00
	2006 Roaring Red, Propietary blend, California Red Wine	$35.00	$30.00
	2007 The Angel's Share, Saralee's Vineyard, White Rhone Blend, Russian River Valley	$33.00	$28.00
	2007 Westerly Vineryard, Roussanne, Santa Barbara County	$30.00	$25.00
	2007 Syrah, Dry Creek Valley	$35.00	$30.00
	2007 White Hawk Vineyard, Sangiovese, Santa Barbara County	$30.00	$25.00
	2007 Pinot Noir, Sonoma Coast	$40.00	$34.00
	2007 Roaring Red, Proprietary Red Blend, California	$35.00	$30.00
	2007 Cabernet Sauvignon, Napa Valley	$45.00	$38.25
	2008 The Angel's Fare, Saralee's Vineyard, White Rhone Blend, Russian River Valley	$30.00	$25.00

	Angel's Flight - 2006 and 2007 The Angel's Share	$58.50	$49.75
	Rhone Gift set – 06 Syrah & 07 The Angel's Share	$66.50	$56.50
	Lionheart logowear t-shirt (Men / Women - S, M, L, XL, XLL)	$28.00	$23.75
	Logo Apron ('Thoughtfully based around palate and plateTM ')	$28.00	$23.75
	Lionheart Wines Vinturi	$40.00	$34.00

Your Billing Information

First Name:

Last Name:

Address:

City:

State:

Zip/Postal Code:

Phone:

Email:

Wine Club Member:

Date of Birth:

__________________________________
Card Holder Signature/Date

Shipping Information
Shipping method: Ground, 2nd day, overnight
First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone:

All orders are subject to our acceptance and we reserve the right to refuse service at our discretion. Currently, we can ship only to the following states: AK, AR, AZ, CA, CO, DC, FL, GA, HI, IA, ID, IL, KS, LA, MA, MI, MO, MN, NC, ND, NE, NH, NJ, NM, NY, NV, OR, RI, SC, TX, VA, VT, WA, WI, WY, WV. Wine may be sold and delivered only to persons who are at least 21 years old. By submitting this order, you represent to us that you are at least 21 years old and that the person to whom delivery will be made is at least 21 years old. You may be required to show identification proving that you are at least 21 years old at the time of delivery. If the wine is returned to us for failure to provide positive proof of age, the customer is responsible for paying the return shipping charges.

Sales tax and shipping will be charged at the time of shipment based on the rates specified in the shipping page on the main web site.

Paying By Credit Card

PLEASE PRINT ALL INFORMATION CAREFULLY to avoid delays and fax this form to 650.560.9878 or mail to: Lionheart Wines, 609 Silver Avenue, Half Moon Bay, CA, 94019..

Card Holder Name
Card Type
Card Number
Expiration Date
CCV Code	This is the 3 digit number that appears on the reverse side of your credit card (where your signature appears).