This document is an order form from 2009 for La Boutique de Bacchus, a wine shop located in Nantoux, France. It requests the customer's name, address, payment method, and includes fields to list wine items from specific vignerons and domaines by image number, quantity, price and total price. Notes indicate that transportation costs depend on weight and destination, and are a minimum of 18 euros, and that orders must be paid in full at the time of ordering.