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LEAH JØRGENSEN CELLARS Thank you for your interest in ordering wines by Leah Jørgensen Cellars. We are a microenterprise, so please stay tuned for when we will have our shopping cart available online. Meantime, we invite you to complete this order form to place your wine shipment order. We process all credit card orders via Square. How to place your order: Print the order form, complete it, and scan/email it to: leah@ljcwineco.com Or, call Leah Jorgensen at 503-713-3277 leave a message and we will call you back promptly Shipping Fees: Please determine the correct packaging and shipping cost for your order from the table below. Add that amount to the shipping cost line on the order form. The best quantities to ship are 2, 6 and 12 bottle packages. PLEASE SEE STATE SHIPPING & TAX INFORMATION BELOW. Adult Signature: State law requires an adult signature at the time of delivery for every package containing wine. It is the recipient s responsibility to ensure an adult is available to sign for the shipment at delivery. Shipments will not be delivered under the following circumstances: The recipient is not 21 s of age or older or does not have an acceptable form of ID such as a driver's license, passport or birth certificate. The recipient shows signs of intoxication.

ORDER FORM 2012 Blanc de Cabernet Franc - $30.00/bottle Order Quantity: Volume discounts are currently not available Available May 15, 2013 Total Wine (bottle price x bottle quantity) 2012 Oregon Tour Rain - $25.00/bottle Order Quantity: Volume discounts are currently not available Available June 15, 2013 Total Wine (bottle price x bottle quantity) 2012 Flat Track Cabernet Franc - $30.00/bottle Order Quantity: Volume discounts are currently not available Available August 15, 2013 Total Wine (bottle price x bottle quantity) State Tax Fees (CA, FL, GA, HI, ID, IL, KS, LA, MD, ME, MI, NE, NV, NH, NM, NY, NC, ND, SC, TN, TX, VA, VT, WA, WV, WI, WY) Shipping/Packaging Charges Total Charges $ Payment & Billing Information: Name: Billing Address: Shipping Address: Email: Phone: Credit Card Information: (circle one) VISA MC No Discover or AMEX Credit Card #: Exp Date: Security Code:

STATE TAX & SHIPPING INFORMATION O r d e r s c a n n o t b e s h i p p e d t h e s a me da y t h e y a r e p l a c e d. S h i p p i n g wi n e i s c o mp l i c a t e d b y v a r i o u s s t a t e - ma n d a t e d l i mi t s a n d r e q u i r e ments. W e r u n y o u r o r d e r t h r o u g h o u r s t a t e c o mpliance matrix to ens u r e a l e g a l s h i p ment. It t a k e s o n e b u s i n e s s d a y s t o p r o c e s s t h e o r d e r, c h e c k i t, a n d t h e n s e n d o n t o p i c ki n g a n d p a c ki n g. If y o u woul d l i ke t o s c h e d u l e a n o r d e r with a shippi n g d a t e f u r t h e r i n t h e f u t u r e t h a n t h e r e g u l a r s c h e d u l e, p l e a s e g i ve u s a c a l l a t 5 0 3-7 1 3-3 2 7 7. W e a r e h a p p y t o s c h e d u l e o r d e r s f o r f u t u r e s h i p d a t e s p e n d i n g i n ve n t o r y a va i l a b i l i t y. W e s h i p o n l y M o n d a y t h r o u gh W e d n e s d a y a s va r i o u s s t a t e s h e a t u p t o mi n i mi z e t h e l i ke l i h o o d t h a t F e d E x o r U P S will h a v e p o s s e s s i o n o f y o u r wine over a weeke n d i n t h e i r warehouse. Not all warehouse are temp e r a t u r e -c o n t r o l l e d. Order Placed Online by 2:00 PM Pacific Time On Order Will Ship On Ground Shipment Order Will Arrive On Two-Day Air Order Will Arrive On Monday Tuesday Approximately 1 to 5 business days after the shipment Thursday Tuesday Wednesday date. Ground service does not have a delivery day Friday Wednesday Monday agreement and is therefore not recommended for customers who must arrange to have someone 21 or Wednesday Thursday Monday older present at the delivery address to accept their wine Wednesday Friday Monday shipment. Wednesday Saturday Monday Wednesday Sunday Monday Wednesday Upon the third missed delivery attempt, your shipment will be returned to Leah Jørgensen Cellars. If this occurs, we retain your original shipping charge. We ll kindly ask you to cover the expense to re-ship it back to you. We cannot ship to a US Postal Service Box. STATES LEAH JØRGENSEN CELLARS SHIPS WINE ORDERS TO: State Quantity Limit Tax Rate Alaska A Reasonable Amount, Limited Service Area Arizona

California No Quantity Limit Tax based on city or county 8.25% - 10.25% Colorado No Quantity Limit District of Columbia Florida No Quantity Limit Tax to be remitted to state by purchaser click here for PDF of tax form Georgia Tax based on city or county 6% to 8% Hawaii 72-750ml bottles by household per 4-4.5% State Sale Tax Idaho 288-750ml bottles per 6% State Sales Tax Illinois 6.25% State Sales Tax Iowa No Quantity Limit Kansas 8% Liquor Enforcement Tax Louisiana 4% State Sales Tax Maryland 216-750ml bottles per address per 9% State Sales Tax Maine 5% State Sales Tax Michigan No Quantity Limit 6% State Sales Tax Minnesota Missouri

Nebraska 5.5% - 6% State Sales Tax Nevada Tax based on city or county 6.5% - 7.375% New Hampshire 144-750ml bottles by address per 8% State Alcohol Tax New Mexico Tax based on city or county 5.5% - 8% New York 432-750ml bottles per Tax based on city or county 7% - 9.5% North Carolina Tax based on county 6.5% - 7.5% North Dakota 36-750ml bottles per 7% State Sales Tax Oregon South Carolina Tax based on county or city 5% - 7% Tennessee, not to exceed 36-750ml bottles per 9.25% State Sales Tax Texas 36-750ml bottles per, not to exceed 180-750ml bottles per 6.25% State Sales Tax Virginia 5% State Sales Tax Vermont 144-75oml bottles per 6-7% State Sales Tax Washington No Quantity Limit Tax based on city or county 7.2% - 8.9%

Washington DC West Virginia 11% State Sales Tax (includes 6% sales tax and 5% municipal tax), some areas restricted Wisconsin Tax based on county 5%-5.5% Wyoming 12% State Alcohol Tax Wine Order Shipping Charges: A d j u s t e d r e g u l a r l y d u e t o F e d E x / U P S f u e l s u r c h a r g e d e c r e a s e s a n d i n c r e a s e s S t a t e N u m b e r o f B o t t l e s * UP S G r o u n d F e d E x a n d UP S 2 - D a y A i r F e d E x O v e r n i g h t C A, D C, IL, M I, NV, NY, O R, V A, WV G A, IA, ID, M E, M O, NC, N H, S C, T N, V T, W A, W I ( U P S s e r v i c e n o t a v a i l a b l e i n V T ) A Z * *, C O, F L * *, K S * *, L A * *, M N, NE, NM, W Y 1 t o 2 Bottles $ 2 2. 2 5 $ 2 6. 5 0 $ 3 9. 0 0 3 t o 6 Bottles $ 2 6. 7 5 $ 3 3. 5 0 $ 5 3. 5 0 7 t o 1 2 B o t t l e s $ 3 4. 2 5 $ 5 0. 5 0 $ 7 1. 0 0 1 t o 2 Bottles $ 2 3. 2 5 $ 2 9. 5 0 $ 4 3. 2 5 3 t o 6 Bottles $ 2 8. 0 0 $ 4 0. 0 0 $ 6 2. 0 0 7 t o 1 2 B o t t l e s $ 3 7. 0 0 $ 5 9. 7 5 $ 8 4. 7 5 1 t o 2 Bottles $ 2 4. 0 0 $ 3 3. 7 5 $ 4 3. 7 5 3 t o 6 Bottles $ 2 9. 5 0 $ 4 9. 7 5 $ 6 3. 0 0 7 t o 1 2 B o t t l e s $ 4 0. 2 5 $ 6 9. 7 5 $ 8 6. 2 5 1 t o 2 Bottles $ 2 4. 5 0 $ 3 6. 5 0 $ 4 4. 5 0 N D, T X * * 3 t o 6 Bottles $ 3 2. 7 5 $ 5 4. 7 5 $ 6 4. 0 0 7 t o 1 2 B o t t l e s $ 4 6. 5 0 $ 8 1. 5 0 $ 8 7. 0 0 1 t o 2 Bottles n / a $ 6 0. 7 5 $ 7 9. 7 5 A K, H I 3 t o 6 Bottles n / a $ 7 6. 0 0 $ 1 0 3. 2 5 7 t o 1 2 B o t t l e s n / a $ 1 2 5. 2 5 $ 1 4 9. 5 0 *Please know that UPS Ground service does not have a delivery day agreement and is therefore not recommended for customers who must arrange to have someone 21 or older present at the delivery address to accept their wine shipment. If

you are making arrangements to have someone 21 or older available all day on the delivery day to sign for the wine, please select FedEx or UPS 2-Day Air service to ensure a specific delivery date. Furthermore, if you select UPS Ground Service, their service could take anywhere from 1 to 5 business days for delivery; we are not able to guarantee a delivery date. **Due to heat conditions in these states, we are no longer offering UPS Ground shipping starting Monday 5/31/2013 and continuing until the fall. Thanks for reading the fine print about shipping practices.