order form

2016-F ORDER FORM
Valid for metropolitan France only
For any other destination, please contact us
Send a copy of this order form by postal mail with a check payable to:
to
Domaine Le Pech d’André,, to the following address:
address: le Pech d’André, 34210 Azillanet, France
Number
of bottles
or BiBs
Unit price
ex-cellar
(taxes incl.)
Price for
1 box of 6 bt
(taxes incl.)
7.00 €
5,50 €
6,00 €
40 €
32 €
34 €
7.00 €
8.50 €
12.00 €
40 €
48 €
65 €
15.00 €
12.00 €
11.00 €
13.00 €
85 €
70 €
65 €
75 €
TOTAL
PRICE
Vin de Pays des Côtes du Brian
Bourboulenc White 75cl
Rosé 75cl
Red Grenache 75cl
Red AOC Minervois
Cuvée Azerole 75cl
Château de mon P
Père 75cl
Grand Terroir 75cl
Sweet Wines & Aperitif
Gracias Grenache 75cl
L'Or des Draines
raines 50cl
White Cartagène
agène 50cl
Pech Citron 50cl
Bag-in-Box
Bourboulenc White 5 liters
10 liters
Rosé 5 liters
10 liters
L’Estive 5 liters
10 liters
Cuvée Azerole 5 liters
10 liters
19 €
34 €
17 €
29 €
15 €
26 €
18 €
32 €
Farm products
Jus de raisin Clairette 1L
Jus de raisin Alicante 1L
3,50 €
3,50 €
20 €
20 €
Sub
ub Total
Name:
Shipment Fees (see back page)
Shipment address:
TOTAL
E-mail address:
Telephone
elephone (required for the delivery):
delivery)
Please carefully check the condition of your shipment before accepting it.
it
Le Pech d’André SAS
Mireille Remaury – Domaine du Pech d’André - 34 210 Azillanet, France – Tél. +33 (0)6 87 34 67 04
Email : [email protected] – Site internet : www.lepechdandre.fr
.fr SIRET 817 633 464 00018
Shipment fees for bottles
1 to 3 boxes (1 to 18 bt)
25 €
4 or 5 boxes (19 to 30 bt)
30 €
6 boxes and + (31 bt and +)
4,80 €/box
300 €+ order
Free
Shipment fees for BiBs
Count 1 5 liter BiB = 1 box of 6 bottles
Count 1 10 liter BiB = 2 boxes of 6 bottles
Organize a group order with your friends to get cheaper shipment fees!
Terms and conditions
These shipment fees include taxes.
They are valid for metropolitan France only
(excluding Corse and DOM-TOM).
For any other destination, please contact us
to get a personalized quote.
It is possible to mix different wines.
Le Pech d’André SAS
Mireille Remaury – Domaine du Pech d’André - 34 210 Azillanet, France – Tél. +33 (0)6 87 34 67 04
Email : [email protected] – Site internet : www.lepechdandre.fr SIRET 817 633 464 00018