The White Wine Game

To order call toll-free 1-800-806-4593 (6 a.m. - 11 p.m. CST) or print out and mail this form today to order the WHITE WINE GAME ^TM, the festive wine and food game for wine beginners and enthusiasts. There is also a text only version of this form for easy printing.

Mail to:

^TM

(If paying by credit card, your name on the order form must be identical to the name on the card and the address must be the same as your credit card billing address.)

Billing Information:

__ Mr. __ Ms. __ Dr. __ Mrs. __ Miss __ Business

Name (Please print) __________________________________________________

Address __________________________________________________________

City ______________________ State _____ Zip ______________________

Phone (______)__________________(Day) (______)______________(Evening)

E-mail ____________________________@______________________________

(Note: Orders may not be shipped to a PO Box. Please provide a street address.)

Shipping Information:

__ Mr. __ Ms. __ Dr. __ Mrs. __ Miss __ Business

Address __________________________________________________________

City ______________________ State _____ Zip ______________________

__ Check here if game is being shipped as a gift.

Gift message, if desired (limit 25 words) : ___________________________________

__________________________________________________________________

__________________________________________________________________

Shipping and Handling will add $9.60 per game Continental U.S. (Orders shipped U.P.S. Ground; U.P.S. 2nd Day and Next Day also available - please call; residents of AK, HI and Canada, please call for applicable rates.)

Nebraska residents add 5% sales tax.
Check here if order is placed within Nebraska

Quantity @ $39.95 each =

Shipping and Handling

Nebraska Sales Tax

Total

Payment Method (Please check one; sorry no cash or CODs)

__ Check or Money Order - Payable in U.S. Funds to: Parstone, Inc.
__ Master Card __ Visa __ American Express

Name on card ______________________________________________________

Acct# ____________________________________________________________

Exp. Date __________________________(Month)_____________________(Year)

Signature _________________________________________________________

Return Policy: Return any order within 60 days of purchase for a complete refund of the original purchase price.

Privacy Policy: Parstone, Inc. respects the privacy of our customers. The information you provide us is used strictly to help us serve you better. It will not be given to any other company or organization. More information is available on our privacy policy page.

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Parstone, Inc.
P.O. Box 5646
Lincoln, NE 68505
(402) 466-4177
info@whitewinegame.com