Order Form
Poterion Fair Trade Communion Wine
= Required
Red
Pale
Running Duck Fair Trade Wine
These are not communion wines
Merlot (Red)
Sauvignon Chenin (White)
Shiraz Rose
Your details
If you are an existing customer just complete your name, post code and phone number
Your Name
Name of Church
Delivery Address
Town/City
County
Post Code
Country
Phone Number
Email
Special delivery instructions (example: where to leave safely if out.)
Invoice to if different from above
Invoice Address
Town/City
County
Post Code
Country
Email
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