Wholesale and Cooperate Only

Company Name

Date

Conatct Name

Item	Quantity

Orders can be placed by email : info@oxonianwines.co.uk or
sales@oxonianwines.com
ORDER MINIMUMS
Opening Order minimum is £1000

Delivery costs are charged at
time of shipment

PAYMENT INFORMATION: Card Payment link
Payments can be made by credit card (Visa, MasterCard or American Express), Paypal or check. All orders will be charged at
the time of shipment. 100% payment is required before the order is shipped. we offer special discount rate up to 30% based on
calculated quantity*.

NAME ON CARD:

CARD TYPE:

CARD NUMBER :

SECURITY CODE:

EXP DATE:

CARDHOLDER SIGNATURE:

BILLING INFORMATION
COMPANY NAME:

CONTACT NAME:

ADDRESS:

CITY | STATE | Post Code:

PHONE:

Email:

SHIPPING INFORMATION (If different from billing)
COMPANY NAME:

CONTACT NAME:

ADDRESS:

CITY | STATE | Post Code:

PHONE:

Email:

SIGNATURE:

DATE:

Wholesale and Cooperate Only

tel: 08000487709 email: sales@oxonianwines.com