Return to La Romita

Mail-in Form

We are pleased to offer this convenient way to order
extra virgin olive oil from
Azienda Agricola La Romita
Via Umberto I, 144
53020 Montisi (Siena) Italy
tel +39-0577-845186
fax +39-0577-845201
email romita@romita.it


Simply print this page.
Then fill in all the requested information. You may mail, fax, or email this form to Azienda Agricola La Romita at the address above.

Mark desired quantities in box(es):

FLOS OLEI, Produzione Ottobre 2008, 250 CL., € 10.00
FLOS OLEI, Produzione Ottobre 2008, 5 litri, € 155.00
FLOS OLEI, Produzione Ottobre 2008, 500 CL., € 20.00

FLOS OLEI, Produzione Novembre 2008, 500 CL., € 15.00
FLOS OLEI, Produzione Novembre 2008, 5 litri, € 114.00




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City/State (città)


Zip Code (c.a.p.)


Country (nazione)


Home Telephone Number (tel. Casa)


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Email


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Read & Accepted By, Signature # 1


I authorize Mail Boxes Etc. 134 of Siena Italy to charge the amount billed for my shipment and packaging to the credit card above.


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Read & Accepted By, Signature # 2

1. I understand that any customs charges by my country are my responsibility.

2. Alcoholic beverage shipments are restricted by some states in the United States. I am aware of the import laws in my state.

3. I understand that disputes and claims will be resolved in the court of action in Siena, Italy.