Two Bottles of Personalized Wine £28 plus post and packing £10
You have been transferred to a Secure Server. Please fill
out the following order form and submit it. *Askerisks indicate required
information. If you wish to book your experience for a
specific date, or if you have any questions to ask about your order please
telephone us on 01-923-681-500.
Name
Address
Country
Postcode
Tel
FAX
email
Actual Date of Event
Would
you like to include a personalized message
on your gift certificate, please enter message below.
MAX WORDS 12 IN MESSAGE
Please
enter the following information, to put onto the wine label.
PLEASE ENTER IN THE BOX IF YOU WOULD LIKE RED OR
WHITE WINE OR ONE OF EACH.
Their date of
Birth (Vintage 13th March 1957
Chateau ........... (will be their surname)
Produce of ........ (where they were born)
Specially Selected by....... (your name)
Delivery Name
Delivery Address
Delivery County
Delivery Postcode
FOR MORE DETAILS
PLEASE CALL 01923 681500
OR EMAIL
gifts@ultimategifts.co.uk
Copyright 2007 [www.ultimategifts.co.uk]. All rights reserved
