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Siips Wine Order Form

Enjoy Our Wine Selection At Home
Not only does Siips offer the best retail prices in town to our club members (using your 5% discount) but now starting November 14th for every $100 in retail wine purchases you will also receive a $10 gift certificate from Siips. Rules: All purchases must be pre-ordered and pre-paid at least 7 days in advance of pickup. Orders may be via e-mail to Gbenford@gmail.com or www.Siipwine.com (credit cards may be via telephone). Orders must be from the wine list on the website only beginning on November 14th. This order is not valid with any other offer ex¬cept your wine club discount. Simply order your wines, prepay and receive the gift cards when you pick up the wines. Gifts cards can not be used to pay for your order. This offer is only valid from November 14 - December 23, 2011. Don't miss out! (434) 872-0056
Contact Information
Name:
E-mail:
Date:
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Wine Club Member?:	Yes No