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TYPE OF WINE: House wine add $6.00 California Merlot add $8.00 Non alcoholic wine add $7.00 We will be sending you a bottle   When sending a bottle of wine to us, make sure you select a wine that has no label on one side. We will not remove labels. 

QUANTITY:  1 2 3 4 5 6 For case pricing please call

The bottle shown contains 1 color, please select the number of colors.

PRICE: $32.00 one color fill $28.00 no colors         BOTTLE DESIGN: RETIREMENT

SILHOUETTE TO BE USED: Baseball player Basketball Bowler Football player Golfer Hockey player Soccer Ball Soccer player Skier Tennis Player Weight lifter

NEXT THREE BOXES PERSONALIZE YOUR WINE BOTTLE

TOP NAME 1: 

BOTTOM NAME 2:

DATE TO BE INCLUDED ON BOTTLE:

BILL TO AND SHIPPING ADDRESS

FIRST NAME:     LAST NAME:

SHIPPING ADDRESS:

CITY:       STATE:    ZIP:

COUNTRY:

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If you are part of a fund raising effort with prior approval from Memories on a Bottle please list your organization below to assure the 10% donation. If you are not and would like to be, please call (919) 266-0261 for approval

ORGANIZATION:

North Carolina residents are required to pay 6% sales tax. Since all orders are customized, we will call to verify an order. Price does not include shipping or handling. We accept and .

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