Cruickshank Callatoota Estate Vineyard and Winery

Vineyard and Winery
Phone: 02 6547 8149 Fax: 02 6547 8144
Email: john@cruickshank.com.au

Wine Order Form

Please print out and post to: J H F Cruickshank                                                      or Fax to: (02) 6547 8144
PO Box 60                                                    or Phone : (02) 6547 8149
                                                  Denman NSW 2328

or "Submit" by Email johnc@nobbys.net.au (see foot of page)

Click here to download a copy of this order form in Word format

	$ Per Bottle in Doz	Qty	$ Per Doz	Total
2008 Chardonnay	$10.00		doz @ $120	$
2008 Verdehlo	$10.00		doz @ $120	$
2008 Rosé	$12.50		doz @ $150	$
Sparkling Shiraz	$13.33		doz @ $160	$
Velvet Cabernet	$11.67		doz @ $140	$
2000 Cabernet Sauvignon	$10.00		doz @ $120	$
2003 Cabernet Sauvignon Pressings (Silver Medal)	$15.00		doz @ $180	$
2001 Cabernet Franc	$13.33		doz @ $160	$
2003 Cabernet Franc (Gold & Trophy)	$25.00		doz @ $300	$
2005 Shiraz (Bronze Medal)	$13.33		doz @ $160	$
Old Tawny Port	$15.00		doz @ $180	$
Freight/carton: Sydney; Wollongong, Newcastle, Local - $9; NSW country- $20 ACT, Melbourne, South Qld - $16; Adelaide, North Queensland - $22; Vic, SA, TAS, Qld Country, Perth, Darwin - $29;			Cartons	$
Home Bottling Wine - 27litre drums @ $186 each				$
Freight: Above carton rate plus $5.00 per drum			.... drums	$
Corks: $15 per 36 including postage			..... X $15	$
			Total	$

Name:
Phone No:
E-mail address:
Delivery Address:
** Special Delivery Instructions:

** These are important if it is possible that there will be no one at home when the wine is delivered.
A business address solves this problem.

If this form is to be transmitted by Post or Fax please include the following information:

Cheque enclosed for $................OR charge my .................................................................card

Card No............................................................................... Expiry Date..................../...........

MasterCard / Visa / Bankcard / Diners / Amex

I am 18 years of age or older

Signature:

This form can be sent to us by email using the "Submit" button below, When transmission is complete click
on "Reset" to clear the data. Upon receipt we will contact you regarding payment details.