Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Let's Get You Some Purity!
We are excited to offer custom 3-packs, 6-packs and 12-packs with local delivery or shipping in most states. For custom cases, we will email you with our current offerings so you may select your favorite bottles. Discounted shipping on 12-packs. And if you do not care for something, we are always happy to make it right. Cheers! Noel and Barrie
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Address (Please include any special delivery instructions such as gate code, apartment or unit #, leave at front desk, etc...)
*
Your answer
Email
*
Your answer
Cell Phone Number (so we can give to our shipping company)
*
Your answer
Which box would you like to order?
*
LA Flash Sale 12-Pack ($180 + tax)
Custom 12-Pack ($240 + tax and discounted shipping, if outside the Bay Area)
Custom 6-Pack ($132 + tax and shipping, if outside the Bay Area)
Custom 3-Pack ($72 + tax and shipping, if outside Bay Area)
Required
We prefer payment via Venmo, Zelle or PayPal if possible. Please let us know your preferred platform and your corresponding handle.
*
Your answer
Talk to us here- please feel free to let us know if you have any fav wines, any wines NOT to include, what you want to see in the future, etc...
Your answer
Would you like to sign up for our mailing list? We will never share your information with anyone and we do not jam up your inbox with junk. Hate that. Our goal is to do a quarterly newsletter to share new releases, what has been happening at the vineyard, winery and wine bar.
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
