Please complete the order form below by selecting quantity from the drop down lists, typing in totals, freight, delivery details and payment instructions  and either:

1) Print completed form and either fax or mail to Berrys Bridge Wines.
2) Either fill out credit card details or post with cheque - details below.

Product Bottle Price Per Dozen Quantity Total $
2004 Cabernet Sauvignon $30.00 $336
2001 Shiraz $45.00 $480
2004 Shiraz $40.00 $456
2004 Merlot $40.00 $456
2002 Merlot $30.00 $336

Freight $10 per dozen

Total

Minimum Order of 6 bottles as it is all packaged in 6 bottle cases and despatched
via Australia Post.

PAYMENT INSTRUCTIONS: please "Check Box" for method of payment
Make cheques payable to: Berrys Bridge Wines

Bankcard

Mastercard

Visa

Amex

Diners

Cheque

Card Number -  -  - 
Amex Cardholders - Please supply 4 digit security Code
Expiry Date /
Cardholder & Signature

Please complete delivery details: (Compulsory to complete)

Name
Street Address
Delivery Address
Phone
FAX
E-mail

Please add me to Berrys Bridge Mailing List   

Thank You for ordering our wines - your order will be processed ASAP

Fax to : 61 3 8610 1621 or
Post to: Berrys Bridge Wines, 633 Carapooee Rd, Carapooee Vic 3478

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