Jeir Creek Wines (Producer Lic 24001960) Order Form: Winter 2010

NOTE: Submission of this form assumes you are complying with the following:

It is against the law to sell or supply alcohol to, or to obtain alcohol on behalf of, a person under the age of 18 years.

Your DOB....................

  

WINE – If freighting, orders in one dozen multiples, please

Price per bottle

Number of bottles

PRICE

2008 Sparkling Chardonnay Pinot Noir

$30

 

 
2009 Riesling
$20
    

2009 Sauvignon Blanc - Sold out

$18

 

 

2008 Unwooded Chardonnay

$18

 

 

2006 Chardonnay

$23

 

 

2008 Pinot Noir

$25

 

 

2005 Cabernet Merlot

$25

 

 

2008 Shiraz Viognier

$25

 

 

2006 Sparkling Shiraz Viognier

$30

 

 

2008 Botrytis Semillon Sauvignon Blanc (375mL)

$25

 

 
Non vintage Muscat (375mL) - Available June 20
$30
    

DOZENS MAY BE MIXED

Freight

 

TOTAL PRICE

 

  

 

Freight: $12 NSW/Syd, $15 Vic/Melb, $15 SA, $20 WA, $25 country Qld, $20 Bris, $25 NT, $25 TAS; Freight by Fastway.

 Payment details:

 Cheque, B/C, M/C, Visa, Diners, Amex (circle one)

 

Number  __ __ __ __    __ __ __ __    __ __ __ __    __ __ __ __  Expires:  ___/___

 

Signature: ______________________________

 

Deliver to:

 Name:

 

Email:

 

Address:

 

 

Suburb/town:

 

State:

 

Postcode:

 

Special Instructions:

 

Remit to: Jeir Creek Wines, PO Box 5, MURRUMBATEMAN, NSW, 2582