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Send Completed Info to: Brandon Faulkner
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brandon@calizawinery.com
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M: 562-706-0356
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Billing First NameBilling Last NameCompany NameBilling Address Line 1Billing Address Line 2 (Apt Number, Unit Number, Etc)Billing CityBilling StateBilling Zip Code (1st 5 Digits Only)Billing PhoneBilling EmailIf Applicable: Person Paying for Corp Gifting. Name, email, phone number
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Gifted to First NameGifted To Last NameGifted To Address Line 1Gifted To Address Line 2 (Apt Number, Unit Number, Etc)Gifted To CityGifted To StateGifted To Zip (1st 5 Digits Only)Sold To PhoneGifted To Email# Roussane for 2 Packs# of Azimuth for 2 Packs# of Red & White Packs# of Reserve PacksCustom Gift Note
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