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1
Private or Business
Private
Business
2
Contact Address
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3
Customer Information
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Last Name *
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House Number *
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3b
Alternative Delivery Address
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Last Name *
Street *
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City *
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4
Wines from the Winery
Winery Name *
5
Positions
Amount *
Content *
0,25 l
0,375 l
0,50 l
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1,00 l
1,50 l
3,00 l
Variety *
Variety *
6
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