Fleurie wine order form

Order form for Fleurie wines

The information you provide in this form will allow us to contact you to confirm your order. Please ensure that this information is correct.

Your contact details

Name* :

First name* :

Phone.* :

Email* :

Country* :

Other :

Address* :

Postal CODE* :

City* :

I want to use a different billing address

Name* :

First name* :

Country* :

Other :

Address* :

Postal code* :

City* :

*Required fields

The data entered in this form will allow us to contact you to validate your order. So make sure this information is valid.

AOP Fleurie Madone - 0.75 L:	x 12,00 €	= €
AOP Fleurie "La Dame Nature" - 0.75 L:	x 14,00 €	= €
IGP Comtés Rhodaniens Viognier "Pied de la rue" - organic - 0.75 L:	x 18,00 €	= €
AOP Fleurie vieilles vignes Madone - 0.75 L:	x 15,00 €	= €
AOP Fleurie Domaine du Niagara - 0.75 L:	x 12,00 €	= €
AOP Fleurie "Grille Midi" - 0.75 L:	x 15,00 €	= €
AOP Fleurie "Dame de la Petoche" - 0.75 L:	x 22,00 €	= €
AOP Fleurie MAGNUM Old Vines Madone - 1.5 L:	x 32,00 €	= €
IGP Comtés Rhodaniens Viognier MAGNUM - 1.5 L:	x 40,00 €	= €
AOP Fleurie Madone 1/2 bottle - 0.375 L:	x 7,00 €	= €
Gift voucher for wine and local product tasting - 0 L:	x 15,00 €	= €
Gift card Auberge 2 Menu 58€ - 0 L:	x 58,00 €	= €
Gift card Auberge 2 Menu + cheese cart 74€ - 0 L:	x 74,00 €	= €
Gift voucher – Auberge: 2 Menus + Wines €80 - 0 L:	x 80,00 €	= €
Gift voucher – Auberge: 2 Menus + Wines + cheese cart 96€ - 0 L:	x 96,00 €	= €

Order Summary

Total of your order (excluding shipping):

= €

Total of your order (including shipping):

= €

Secure payment

France :

Partner LCL City Store, 5% discount from your LCL bank directly on your account for any purchase with your bank card https://www.lcl.fr/citystore