Wine Bag and Wine Tote Discount Program: Order Form Question Title * 1. Contact Name OK Question Title * 2. Company Name OK Question Title * 3. What is your shipping address? OK Question Title * 4. Phone Number OK Question Title * 5. At what email address would you like to be contacted? OK Question Title * 6. Are you a current member of the New York Wine & Grape Foundation? Yes No Not sure. Please check and get back to me with my price. OK Question Title * 7. What bag(s) option would you like to order? A. Shopping Bags (50 bags @ $55 per case for members; $65 for non-members) B. Wine Tote Bags (50 bags @ $55 per case for members; $65 for non-members) C. Plastic Bags (1,000 bags @ $75 per case for members; $85 for non-members) OK Question Title * 8. Please let us know how many cases of each bag type you would like. Shopping Bag: Wine Tote: Plastic Bag: OK Question Title * 9. Do you need these items shipped to you? Yes No OK Please note that shipping is an additional $10 for each case. You may also choose to pick up bags or coordinate with our regional staff in the Capital Region and New York City for free local delivery.After submission of this form an invoice will be sent to you via email. You may then choose to pay via check or online with a credit card. You may also call Kim Hughes at 1 (585) 394-3620 to pay by phone.Questions? Please call Kim Hughes at 1 (585) 394-3620 or email her at kimhughes@nywgf.org OK DONE