J & J Wines McLaren Vale

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Website Sales E-MAIL/FAX Order Form

Please note ordering by Internet is for cartons only, not bottles

Price Per
Carton
(GST INCL.)

Carton
Quantity

Price Per
Bottle
(GST INCL.)

Bottle
Quantity

Total$

2008 Shiraz

Sold Out

2009 Shiraz

$179.00

$14.90

N/A

Pinot Grigio

$179.00

$14.90

N/A

2009 Shiraz Cabernet

$179.00

$14.90

N/A

Mixed Dozen (Describe below:)

$179.00

$14.90

N/A

Total

Amount Payable

Delivery instructions

Phone. :

E-Mail Address :

Name :

Mobile Phone :

Contact Fax. :

Address :

Postcode :

State :

J&J Wines will contact you by phone to CONFIRM PAYMENT. Please ensure your e-mail and telephone numbers are correct.

Delivery Instructions: Please allow allow 3-5 days for delivery

Date :

Note

- Wholesale enquiries welcome - Special Pricing for Pallet Lots-on request

You can E-Mail this form by clicking on the bottom MAIL button, or you can press the Print and FAX button below and send by FAX manually. The FAX number is on the button.