Personalized Label Request

Label Code
Order Date
Month
WC Name
Date Needed
Branch Retail
Label Quantity
Label Quantity Other
Script Title Available (Check Only One)
Happy Birthday
Happy Anniversary
Compliments of
In Appreciation From
Happy Holidays 		Especially Bottled For
Season's Greetings
Congratulations
From the Private Cellars of
From All of Us at 		Special Wines for Special Friends
Special Wines for Special Moments
Best Wishes From
Especially Bottled for the Wedding of
Especially Bottled for Friends & Valued Clients of
SPECIAL OPTIONS (additional charges may apply)
Logo [$20]
Emailed/Via Website
Photo [$2/label]
Rush Service (1-2 week dlvry) [$30] 		Black [No charge]

PMS Color (specify right) PMS #

Need Proof via Email
Email Address:
Font (specify below)
Font Name
Upload Artwork

Five Lines on Bottle Label
Line 1: Title (Selected from above if desired)
4 following lines for personal message. 25 characters per line maximum

25 chars/line MAX
25 chars/line MAX
25 chars/line MAX
25 chars/line MAX
Write "LOGO" in line as you want it to appear.

Name
Address
Address
City State Zip
Phone Home
Phone Office

Office Use Only

DEPOSIT REC'D DATE _________________

BY ____________________________


Email Copys to:
Email address #1:
Email address #2:
Email address #3:

Deliver to:
Name
Address
Address
City State Zip

Credit card: Visa   MasterCard   AmEx   Discovery  
Credit Card # Exp
Name as it appears on card


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