The shop - Domaine Castel Nègre, organic vineyard and wine makers

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The shop - Domaine Castel Nègre, organic vineyard and wine makers

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Label	Price per carton including sales tax	Quantity	Total
SUB-TOTAL INCLUDING SALES TAX BUT EXCLUDING COST OF TRANSPORT

Your details fields marked by are obligatory*

Company name
N° TVA
Title *
Name *
First name
Email *
Address 1 *
Address 2
	France Other country

Département *
Postal code *
City *
Telephone *
Delivery address if different to above :
Name, first name
Address
Address
Postal code
City
Telephone

REMINDER SUB-TOTAL INCL. SALES TAX BUT EXCL. COST OF TRANSPORT
Cost of transport
TOTAL OF YOUR ORDER (INCLUDING SALES TAX) IN €

Print this order form and send it with the cheque.

Cheque payable to: Domaine Castel-Nègre

Anne et Romain Marchesi
Domaine de Castel-Nègre
11580 Alet les Bains
Tel / Fax : 04 68 74 14 99