Kingsdale Wines

Order Form

A one page printable PDF version of this order form is HERE

A. Your Order
Please enter the number of bottles required for each wine.
Orders for wine to be delivered must be in multiples of 12 .Mixed dozens are welcome
Wine Each Per Dozen (10% off) No. Bottles Total
2010 Sauvignon Blanc* $20 $216 ($18 ea)    
2010 Semillon Chardonnay Sauvignon Blanc $20 $216 ($18 ea)    
2010 Chardonnay* - Lightly oaked $25 $270 ($22.50 ea)    
2010 Sweet Madeleine $20 $216 (18 ea)    
2008 Rosé* $20 $216 (18 ea)    
2011 Rosé Frizzante $20 $216 ($18 ea)    
2011 Shiraz Rosé ** $20 $216 ($18 ea)    
2005 Victoria Shiraz $20 $216 ($18 ea)    
2008 Emma Shiraz $20 $216 ($18 ea)    
2008 Merlot, Malbec $25 $270 ($22.50 ea)    
Orange Liqueur Wine $15 $162 ($13.50 ea)    
* Bronze Medal ** Silver Medal
 
Purchase Total
   
Freight: Goulburn/Sydney/Canberra/Wollongong Free; Rest of NSW $12 a case; Vic,SA, Brisbane $20 per case; Rest of Australia $40    
Total Including Freight
   
B. Delivery Details
Name  
Number & Street  
Suburb  
State   Postcode  
Email address   Telephone  
Instructions if not at home  
C Payment Details
I am over 18 years of age (Kingsdale Wine supports the responsible consumption of alcohol)
Payment Method Bankcard - MasterCard - Visa - Personal Cheque - Money Order
Card Number   Expiry Date  
Signature   Date  

Post: PO BOX 807 GOULBURN NSW 2580 Tel: (02) 4822 4880 Fax: (02) 4822 4881
Email: cellardoor@kingsdale.com.au Web: www.kingsdale.com.au
Vigneron's Licence No. 24014412 - ABN: 25 375 071 221