Please fill in, print off this form and fax to: (08) 9844 3819.

Wine & Description Case Bottle 

Qty

Amount
2007 SAUVIGNON BLANC $210 $18
2006 UNWOODED CHARDONNAY $210 $18
2006 CHARDONNAY $258 $22
2006  RESERVE CHARDONNAY $366 $31
2006 KALGAN SUNSET WHITE $162 $14
2005 CABERNET FRANC MERLOT $210 $18
2004 CABERNET SAUVIGNON $234 $20
2005 SHIRAZ $234 $20
2006 KALGAN SUNSET RED $162 $14

POSTAGE
PER
CASE

Perth and South West WA - FREE
North West WA - $12.00
NSW, Victoria, SA, Metro Gold Coast QLD- $19.00
Tasmania, country QLD & Northern Territory - $24.00
TOTAL

Delivery is by Austalia Post and may require a signature
YOUR PERSONAL, DELIVERY & PAYMENT DETAILS
Name  
Postal Address
Delivery Address
Suburb, State and Postcode
Telephone Number
Email
Credit Card Type Mastercard Visa  
Credit Card Number
Credit Card Expiry Date
Your Signature