Orders

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="043fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#993366" FACE="Bart" ><B>Cork Poppers </B></FONT><FONT SIZE="4" COLOR="#990099" FACE="Bavand" ><B>Fine Wine & Spirits</B></FONT><B>    </B><B> |  </B><FONT SIZE="4" COLOR="#990033" FACE="Bangle" ><B>  </B><A HREF="index.htm" TARGET="_top" TITLE="Cork Poppers "><U><B>HOME</B></U></A></FONT></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="News and Events"><U>News and Events</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Wine Of The Month Club"><U>Wine Of The Month Club</U></A>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Join Our Mailing List"><U>Join Our Mailing List</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Location"><U>Location</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Our Products and Services"><U>Our Products and Services</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Links"><U>Links</U></A>   |   <B>Orders</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="044d2b03.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Orders</I></div> <DIV ALIGN="LEFT"></DIV> <div> <B><U>Free Local Delivery Over $100.00 Available Now!!</U></B></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b7019000000000.png" HEIGHT="27" WIDTH="27" ALIGN="bottom" HSPACE="0" VSPACE="0">WE NOW OFFER SHIPPING DAILY. CONTACT US FOR DETAILS.</div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">All Deliveries Must Be Accepted By A Person 21 Years Or Older With Valid Identification.</B></div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">All E-Mail Requests Will Be Confirmed/Responded to, before Delivery is Guaranteed.</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">All Orders Apply Only To Availability.  We Cannot Deliver Out of Stock, Limited Availability Items, and Unavailable Items.</div> <div> <B><U><IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">After </U></B>Your Order is Confirmed Available and In Stock, <B>All Orders Must Be Paid in Full Before Delivery.</B></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0"><IMG SRC="2a163650.png" border=0 width="99" height="101" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="4" COLOR="#BF0000" FACE="Arial" >Check Out Our Wine Of The Month Club</FONT></div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B><U>PRE-MADE OR CUSTOM MADE GIFT BASKETS </U></B></div> <bR> <div> <IMG SRC="1045f070.jpg" border=0 width="351" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> ========================================================</div> <bR> <div> <U>Fill Out The Form Below For Pre-Order And Pick Up </U></div> <bR> <div> <B>We can have your orders packed and waiting for pick up by a person over 21 years of age.  Deposit Required.</B></div> <div> <B>Pre-Paid Orders Allows No waiting on lines.</B></div> <div> <B>Save Time and Receive all of your items before they are gone.</B></div> <div> <B>Offer Applies to Single Items or Cases.</B></div> <div> <B>We Offer 750ml Mixed/Same Wine Case Discounts!!</B></div> <bR> <div> <I><B>We Also Make Gift Baskets & Gift Wrap For Free.</B></I></div> <div> <B><IMG SRC="0dcc0ca0.png" border=0 width="192" height="202" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> <bR> <div> <B> <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Address1,City,State,Zip,Phone,Fax,# of Bottles (12 Bottles in one case),Name on Label of Wine/Spirit,Grape/Type,Size--750ml--Liter--Magnum,Year--If Applicable,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request. We will notify you upon confirmation of item availability."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="pike@corkpoppers.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email Must Provide:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td align="left"># of Bottles (12 Bottles in one case):<br> <input type="text" name="# of Bottles (12 Bottles in one case)" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Name on Label of Wine/Spirit:<br> <input type="text" name="Name on Label of Wine/Spirit" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Grape/Type:<br> <input type="text" name="Grape/Type" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Size--750ml--Liter--Magnum:<br> <input type="text" name="Size--750ml--Liter--Magnum" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Year--If Applicable:<br> <input type="text" name="Year--If Applicable" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </B></div> </td> </tr></table></body>