Hi-Time Wine Cellars Special Order Form

If there is something you've been looking for but can not find, please fill out the form below to the best of your knowledge and we will research price and availability for you. Please keep in mind there are some wines and spirits that are not available in our area. Please allow at least 48 hours for a return response so we can research the product.

Please fill out as much of the information below as you can. The more information we have the better chance we have of locating the wine\spirit.

Person to contact:

Phone:

E-mail address:

Contact preference: Email Phone

Name of the wine/spirit:

Wine type: Sparkling Wine Champagne Domestic Red Domestic White

Imported Red Imported White Dessert Wine Rose

Country of Origin:

Producer:

Vintage:

Grape Varietal(s):

Where did you have the wine/spirit:

Approximate price of the wine/spirit:

Approximate quantity of the wine/spirit you are looking for:

Do you need this by a certain date? (Optional) If yes when?

Additional info/notes:

Once the form is submitted you will be returned to our home page.

Hi-Time Wine Cellars | 250 Ogle Street | Costa Mesa, CA 92627
Store Hours: Sunday 10am -7pm | Mon-Wed 9am-8pm | Thurs-Sat 9am-9pm