If you don't feel comfortable ordering online (really, it's very safe), then just print out this form and fax it to us at
847-982-WINE (9463). we will calculate your total and contact you to confirm the order.
SHIP TO
Name
Address
City, State Zip
[ ] Daytime phone [ ] Evening phone (you must include one)
Check one: [ ] UPS ground [ ] UPS 2-day [ ] UPS next day [ ] Schaefer's truck (click here for info)
BILL TO (if different)
Name
Address
City, State Zip
Daytime phone
PAYMENT METHOD
Check one: [ ] Visa [ ] MC [ ] Amex [ ] Discover [ ] Schaefer's Card
Credit card number
Expiration
Name on card
Signature
MY ORDER (include item#, quantity, and name)
GIFT CARD TO READ
Appropriate taxes, shipping, and handling charges will be added to the total.
All items are subject to availability. Prices may change without notice.