prices per bottle
|
Vintage |
Price/bottle | Quantity | total |
| Zimmermann Shiraz 2007 | $ 29.00 | _______ | $_____________ |
| Zimmermann Shiraz 2006 | $ 36.00 | _______ | $_____________ |
| Total Amount : | $_____________ | ||
prices per dozen
|
Vintage |
Price/dozen | Quantity | total |
| Zimmermann Shiraz 2007 | $ 319.00 | _______ | $_____________ |
| Zimmermann Shiraz 2006 | $ 396.00 | _______ | $_____________ |
| Total Amount : | $_____________ | ||
delivery details
| Your Name : | _________________________________________________ |
| Address : | _________________________________________________ |
| _________________________________________________ | |
| State / Postcode : | _________________________________________________ |
| Phone No.: | _________________________________________________ |
payment details
| Cheque ___ / Money order ___ / Master Card ___ / Visa Card ___ | |
| Card No: | _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |
| Expiry Date : | __ __ / __ __ |
| Name on Card : | _________________________________________________ |
|
Signature : |
_________________________________________________ |
Freight free delivery within Australia for a dozen only
Please print and fill out the wine order form
Fax this form to : +61 (0)8 8556 4078