LONG POINT ORDER FORM

Mail 6 Cooinda Place Lake Cathie NSW 2445
Phone 02 6585 4598
Fax 02 6584 8915
Email

lpv7@bigpond.com

Prices are current at 1 January 2011 and are
subject to change without notice

Wine Producers Licence No. 24008387
 
Price
Qty
Total
2010 Deckchair White 750ml
$15.00
2010Frontignac-Verdelho 750ml
$18.00
2010 Chambourcin Rosé 750ml
$18.00
   
2007 Duet (Chambourcin/Cabernet) 750ml
$22.00
2009 Deckchair Red
$15.00
Ginger Beer (Alcoholic) 330ml
 $4.50 or 6 for $25.00
 Jolly Nose Port 500ml pyramid bottle
$20.00
Agent Orange 500ml pyramid bottle
$25.00
Freight*
Total Cost

*Brisbanee/Sydney/Newcastle - FREE for one dozen or more WINES (not ginger beer)
All other places - as charged by Australia Post when we forward the wine.

Delivery Details    
Name:
________________________________________
 Phone No:
____________
Delivery Address:
________________________________________    
Town:
________________________________________
Post Code:
____________
Payment      
Cheque attached for $__________    
Please charge my credit card: Mastercard ____ Visa ____
  Expiry Date:
_____ / _____
  Card No: ________________________________
 Date of Birth**:
__ / __ / ____
  Signature: _______________________________
**Required by Licensing Laws