Cruickshank Callatoota Estate

Please print out and send to:
Post: JHF Cruickshank, PO Box 60, Denman NSW 2328
Fax: (02) 6547 1288
Phone: (02) 6547 1088
Email:john@cruickshank.com.au

or fill in the form online and press "Submit" at bottom of the page

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

	$ Per Bottle in Doz	Qty	$ Per Doz	Total
2009 Verdelho	$11.70		doz @$140	$
2009 Unwooded Chardonnay	$11.70		doz @$140	$
2009 Rosé	$12.50		doz @ $150	$
Sparkling Shiraz	$15.83		doz @ $190	$
Velvet Cabernet	$11.67		doz @ $140	$
2002 Cabernet Sauvignon	$13.33		doz @ $160	$
2002 Cabernet Franc	$15.00		doz @ $180	$
2005 Cab. Sauv. Pressings	$15.00		doz @ $180	$
2007 Shiraz	$15.00		doz @ $180	$
Old Tawny Port	$15.00		doz @ $180	$
Freight/carton: Sydney; Wollongong, Newcastle, Local - $9; NSW country- $20 ACT, Melbourne, South Qld - $17; Adelaide, North Queensland - $27; Vic, SA, TAS, Qld Country, Perth, Darwin - $35;			Cartons	$
Home Bottling Wine - 27litre drums @ $206 each				$
Freight: Above carton rate plus $8.00 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.