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The Bacchus Rack - Elegance in storage and presentation - premium acrylic wine rack

Secure Order Form

  Contact Information:

FIRST NAME: 
LAST NAME:
E-MAIL ADDRESS:
PHONE NUMBER: 

  Shipping Address:

STREET ADDRESS:  
P.O. BOX/SUITE #/APT. #: 
CITY: 
STATE OR REGION: 
ZIP OR COUNTRY CODE: 
COUNTRY: 


  Billing Address (if different than Shipping Address): 

               STREET ADDRESS: 
P.O. BOX/SUITE #/APT. #: 
CITY: 
STATE OR REGION: 
ZIP OR COUNTRY CODE: 
COUNTRY: 


  Your ORDER:

 
Please select Item and Quantity.
  
 

WE ARE STILL WORKING ON OUR ORDER FORM, IT SHOULD BE READY
   IN SEVERAL DAYS, UNTIL THEN PLEASE CALL
800-482-1776
  Bacchus 6          Quantity:  
  Bacchus 8          Quantity:
  Bacchus Solo    Quantity: 
  Bacchus Par 3    Quantity: 

E-Mail Us about Wholesale and Quantity Discounts!

If you are interested in more than 5, please email.


Shipping Options

*Shipping is FREE in the U.S..
 Please Email  for shipping prices if not in the U.S..

Go to Shipping Options  for more information.

Do you want Insurance? Yes Add  $3.00
Do you want International** Shipping? Yes No Calculate
We will email you if this option is chosen.

** International Shipping is anywhere not in the USA or USA owned properties.

We will calculate and send with the Order Confirmation if you leave blank
TOTAL:  $

  Payment:

  Method of Payment: (please choose one)
 Visa                                
 MasterCard
 
AMEX
 
Discover
 PayPal
 Bank Card / Debit Card
 Check
 Money Order
 Other  -  Please Explain:

  Promotional Code: (If applicable) 

If you want to send a Check or Money Order please continue to fill out
and submit this form as it will insure prompt process of your order,
see information at the bottom of this form for where you will send payment.

Continue to Submit this form and we will send an invoice to you through PayPal.

  Exact Card Holders Name on Credit Card:    
  Card Number:
  Expiration Date Month/Year:   

  **Any Other Comments pertaining to your order, use as much space as needed!
 

To pay by Check or Money Order please send to:
Again, please fill out and submit the form even if paying with Check
or Money Order. This allows us to have all the needed information as
we need it to quickly process your order.  Shipping is per item.  Please
email if you have further shipping questions.

The Bacchus Rack
823 Siskiyou St.
Ashland, OR  95720

                                  

If having a problem submitting this order please call toll free 800-482-1776 and we will be happy to take your order over the phone. If so, we apologize for the inconvenience.

TheBacchusRack.com - ©2008
 

Please call anytime and we'll be happy to answer any question you might have.

The Bacchus Rack · Ashland, Oregon · 800-482-1776 · info@thebacchusrack.com

Printable Order Form

Home | The Bacchus 6 | The Bacchus 8 | The Bacchus Solo | Par Three
Order Form | Warranty | Contact Us | Shipping

TheBacchusRack.com - ©2008