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Custom Wine Room Order Form

This information will help us to understand exactly what features you would like in your custom wine room

Personal Info
First Name:		Last:
Phone#:		Alt Phone#:
Fax#:		Email Address:
Address:
City:		State:
Note: Vinotemp will not share your information with any other company or sell your email address.

Wine Room Info
Depth:	Approx. measured from the door to the back wall
Width:
Height:	Or the height you wish the racking to be
What is the location and size of the door and/or it's opening?		Example: the door opening is 52 inches wide and 92 inches tall, located on the right side of the wall
Location and dimensions of previously installed cooling unit?			Enter info here (if available)
If no cooling unit is installed, select one:
Note: Split systems require professional installation
Use this area to describe any other unique characteristics of your room.

Racking Info
Wood Rack Types:	Yes	No	How many cubicles?	How Deep (1,2 or 3 bottles)
3 inch (Split or .375 ml)
3-3/8 inch (Traditional Reds)
3-3/4 inch (Reds / Whites)
4 inch (Champagne)
4-1/2 inch (Magnum)

Cellar Trellis Rack Types:	Yes	No	How many cubicles?	How Deep (1,2 or 3 bottles)
3 inch (Split or .375 ml)
3-3/8 inch (Traditional Reds)
3-3/4 inch (Reds / Whites)
4 inch (Champagne)
4-1/2 inch (Magnum)

Decanting Options:
Top Pieces (tables):	Yes	No		Bottoms	Yes	No
Standard Table				Seven Column Rack
Table w/Glass Rack				Drawer / Columns
Arch-Top Table				Three Drawers
Arch-top w/Glass Rack				Three Bins
Decorated Arch-Top				Diamond Bins

Other racks:
QTY				QTY
QTY				QTY
QTY				QTY
QTY				QTY

Other Options
Use this area to describe any other options or modifications note listed so far.

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